63 cases of meningitis in children were reviewed to study correlation between brain CT findings and clinicalcourse. We divided 63 cases into 3 groups according to clinical course, that is , Group I :Healed withoutsignificant sequelae. Group II: Discharged with sequelae such as neurologic deficit or complicated clinicalcourse. Group III : Expired or considered to be expired after hopeless discharge. The CT finding wereretrospectively analyzed and compared with each clinical group. We drawed several conclusions as follows; 1. Thewrost prognostic CT finding is dirty basal cisternal enhancement. (Group I only 5%, Group II 50%, Group III 45%).2. Focal brain parenchymal lesion, especially multiple, such as granuloma and infarct shows unfavorable clinicaloutcom, that is, high rate of Group III and evident neurologic deficit, in contrast to only 7% of Group I. 3. In 7cases of which CT finding is only hydrocephalus, the prognosis is rather favorable, that is, 57% were Group I, 43%were improved after V-P shunt (Group II) and no Group III. But hydrocephalus with dirty disternal enhancementresults in grave prognosis, that is, Group I only 8%, Grouop II 54%, Group III 38%, With regard to overallhydrocephalus, predilectron for good or bad prognosis can't be mentioned. 4. No prognostic difference were notedbetween presence and absence of periventricular low desnity in hydrocephalus. 5. CSF pressure of hydrocephalus ismostly high (over 20cm H20). but normal pressure hydrocephalus were noted in 24%. CSF pressure of normal ventriclesize is mostly under 18cm H2O) but high pressure were noted in 18% of the nomral sized venticle (most of themshows intracranial space occupying lesion such as granuloma, acute infarct, subdural effusion, etc). 6. Most ofdiffuse braine swelling, diffuse brain atrophy and subdural effusion result in Group I, that is, favorableclinical outcome. 7. Normal CT findings ar found in 29%, of which 61% belong to Group I and 31% to Group II.