Cerebral palsy is the commonest physical disability in childhood, occurring in 2.0 to 2.5 per 1000 live births [1] Cerebral palsy (CP), a neurodevelopment disorders, is usually associated with abnormalities of pregnancy, particularly 'birth asphyxia' and low birth weight [2]. In the present study all cases were males, mothers were more than 35 years, para4, and uncooked, illiterate and low socio economic status. They all had normal deliveries, were anemic, associated with severe pregnancy induced hypertension, preterm and extremely low birth weight and no genetic overlay Present study 5(0.05%) cases occurred out of 8500 deliveries. Cranial ultrasound imaging can describe patterns of neonatal brain damage in the low birth weight infant that are highly predictive of later cerebral palsy [3, 4].