The problems of brain and spine in new born and children needs special attention as the symptoms signs may be few and they may not complain about it!. Management of these problems is a challenge, since they may be silent in the initial stages & cause damage to the developing brain & spine which may be irreversible. Congenital malformations resulting from developmental abnormalities form a significant proportion. Infections, trauma, tumors & vascular anomalies are other conditions affecting them.