Background: Movement disorder is one of the commonly encountered problems in the course of pediatric neurology practice. The urge to understand the causes, clinical spectrum of pediatric movement disorders are increasing day by day as treatment has been largely based on clinical experience rather than evidence based as the clinical trials are limited. Objective: The objective of this study is to investigate the types of involuntary movements and its association with different neurological diseases. At the same time this study will also try to identify the relation of age, sex and perinatal insult with movement disorder. Method: A retrospective analysis was conducted with the secondary data obtained from the records of the patients with movement disorder in the Paediatric neuroscience department of Dhaka Shishu (children) Hospital over a period of 2years(January 2009 to January 2011). Result: Total 120 children were studied. Among them 86(72%) were male & 34(28%) female. Maximum 56 (47%) involuntary movement was present in children of 1-5 year age group. Regarding involuntary movement, dystonia 58(48%) was highest followed by chorea 26(22%). Dyskinetic cerebral palsy was 66(55%) the most represented cause followed by sequele of encephalitis 20 (16%). Perinatal insult was present in 92 (77%) children.