<jats:p>Introduction: ToRCH is an acronym for four congenital infections that are sometimes difficult to distinguish: Toxoplasmosis, Rubella, Cytomegalovirus (CMV), and Herpes Simplex Virus (HSV). This group of organisms produces serious Central Nervous System (CNS) and other infections, which are potentially preventable and treatable.&#x0D; Methods: Neonates and infants with hydrocephalus (N = 65) identified via the outpatient department of the National Institute of Neurosciences and Hospital (NINS&amp;H), were prospectively screened for ToRCH antibodies. Hydrocephalus secondary to Tumor or Trauma was excluded from this study.&#x0D; Results: Evidence of 75.38 % (p = &lt;0.05) patient was positive for TORCH antibodies. Toxoplasma Gondi (T. Gondii) IgG 18.5 % ( p= &lt;0.05 ), CMV IgM 9.2 % (p = &lt;0.05), CMV Ig G47.7% ( p = &lt;0.5), Rubella, and HSV 1 &amp; 2 antibodies were also identified.&#x0D; Conclusion: The vast majority of cases of neonatal hydrocephalus at one institution was post-infectious in etiology and related to ToRCH infections. Many of these cases could be prevented with improved screening and treatment. While study of a single institution may not be the representative of the entire population, further study and implementation of a standardized screening protocol would likely benefit this population.&#x0D; Bang. J Neurosurgery 2020; 9(2): 121-125</jats:p>