FIGURE 96.26 Noncontrast CT scan showing left-sided subgaleal and subdural hemorrhages in a newborn Axial noncontrast CT images show subdural hemorrhage along the left leaf of the tentorium (large white arrow ), in the interhemispheric fissure near the falcotentorial junction (small white arrow ), along the left cerebral convexity subdural space, and in the subcutaneous and subgaleal spaces Note the severity of the cerebral cortical involvement (Reprinted with permission from Barkovich J, Raybaud C Pediatric Neuroimaging 5th ed Philadelphia, PA: Lippincott Williams & Wilkins; 2011.) Moebius Syndrome Moebius syndrome is a hereditary absence of the VI and VII nerve nuclei This results in loss of use of facial muscles and lateral eye motion Infants are unable to move facial muscles so that the face remains expressionless and immobile The condition is associated with micrognathia, microstomia, muscle weakness, recurrent aspiration, earlobe deformities, and thoracic and limb deformities There may be notable dryness of the eyes due to lack of inability to close the eyelids Neonates with this condition may have difficulty feeding and require respiratory support due to aspiration Therapy consists of ongoing supportive care Many newborns are unable to breast-feed or feed from a regular nipple Infants may require feeding tubes or a Haberman nipple to obtain adequate nutritional intake