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Cranial ultrasonography has become an essential diagnostic tool in modern neonatology IntroductionCUS is cheap, easy to perform, non-invasive and easily repeatable. Our study evaluates the importance of CUS as an early investigatory modality in NICU protocols. Cranial Ultrasonography CUS was introduced in neonatology the late 1970s and now is an established diagnostic tool in modern neonatology. Both normal and abnormal USG scans have been very useful in predicting neurodevelopment Outcome1. It is a reliable tool for detecting most of the hemorrhagic, ischemic and cystic brain lesions as well as calcifications, cerebral infections and major structural abnormalities in preterm and full

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Perinatal Asphyxia is a common problem with incidence varying from 0.5-2% of live births. It is a third most common cause of neonatal death (23%) after preterm birth (28%) and sepsis (26%).The asphyxia injury involve virtually every organ system of body. In this study clinical parameters, Electrocardiographic changes and Cardiac enzymes studied to evaluate the myocardial function in newborns with perinatal asphyxia. In general myocardial function is often under diagnosed and requires high index of suspicion. Neonates with severe hypoxic damage reflected significant changes in ECG and enzymes levels.

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