Craniopagus Parietalis

The epidemiology of conjoined twinning in Southern Africa

“…The ratios of anatomical categories of the conjoined twins in our series, as summarised in Table 3, are generally similar to those reported by Robertson (1953) and Edmonds & Layde (1982). By contrast, however, we observed a higher incidence of ischiopagus twins and did not encounter any sets of the PYgoPagus type.…”

The epidemiology of conjoined twinning in Southern Africa

“…The ratios of anatomical categories of the conjoined twins in our series, as summarised in Table 3, are generally similar to those reported by Robertson (1953) and Edmonds & Layde (1982). By contrast, however, we observed a higher incidence of ischiopagus twins and did not encounter any sets of the PYgoPagus type.…”

Total Craniopagus Twins

“…In the case of Robertson [1953] both children died after angiography. Lenard and Schulte [1972] reported on a child who developed ventricular fibrillation after this procedure, the case of Abad et al [!…”

A Century With Craniopagus Twin Separation Surgeries: Nihilism to Optimism

“…Death of one of twins during craniopagus twin separation surgery: Of 30 CPT separation attempts in the past century, one twin died in 4 twin set surgeries. Of 32 CPT separation attempts in the past 20 years, one twin died in 9 CPT cases (in 4 cases, death resulted from intraoperative massive blood loss and directional venous drainage/shunting, in 3 cases, one twin died before surgery because of other congenital cardiac/renal anomalies, and in 2 cases, cause of death not reported) 16,28-53 (Table 1).…”

“…Careful case selection for surgery, routine use of 3D print brain and skull models, simulation software, neuronavigation assistance, intraoperative adjuncts/tools, endovascular interventions, innovative surgical methods (distraction osteogenesis), multistage surgeries, and advanced perioperative intensive care availability enable better outcomes. Over the past 20 years, both twins survived in 21 of 32 separation attempts (65.6%) compared with 12 of 30 separation earlier (40%) 16,28-53 (Table 1).…”

The epidemiology of conjoined twinning in Southern Africa

“…The ratios of anatomical categories of the conjoined twins in our series, as summarised in Table 3, are generally similar to those reported by Robertson (1953) and Edmonds & Layde (1982). By contrast, however, we observed a higher incidence of ischiopagus twins and did not encounter any sets of the PYgoPagus type.…”

Total Craniopagus Twins

“…In the case of Robertson [1953] both children died after angiography. Lenard and Schulte [1972] reported on a child who developed ventricular fibrillation after this procedure, the case of Abad et al [!…”

A Century With Craniopagus Twin Separation Surgeries: Nihilism to Optimism

“…Death of one of twins during craniopagus twin separation surgery: Of 30 CPT separation attempts in the past century, one twin died in 4 twin set surgeries. Of 32 CPT separation attempts in the past 20 years, one twin died in 9 CPT cases (in 4 cases, death resulted from intraoperative massive blood loss and directional venous drainage/shunting, in 3 cases, one twin died before surgery because of other congenital cardiac/renal anomalies, and in 2 cases, cause of death not reported) 16,28-53 (Table 1).…”

“…Careful case selection for surgery, routine use of 3D print brain and skull models, simulation software, neuronavigation assistance, intraoperative adjuncts/tools, endovascular interventions, innovative surgical methods (distraction osteogenesis), multistage surgeries, and advanced perioperative intensive care availability enable better outcomes. Over the past 20 years, both twins survived in 21 of 32 separation attempts (65.6%) compared with 12 of 30 separation earlier (40%) 16,28-53 (Table 1).…”

The epidemiology of conjoined twinning in Southern Africa

“…The ratios of anatomical categories of the conjoined twins in our series, as summarised in Table 3, are generally similar to those reported by Robertson (1953) and Edmonds & Layde (1982). By contrast, however, we observed a higher incidence of ischiopagus twins and did not encounter any sets of the PYgoPagus type.…”

Total Craniopagus Twins

“…In the case of Robertson [1953] both children died after angiography. Lenard and Schulte [1972] reported on a child who developed ventricular fibrillation after this procedure, the case of Abad et al [!…”

A Century With Craniopagus Twin Separation Surgeries: Nihilism to Optimism

“…Death of one of twins during craniopagus twin separation surgery: Of 30 CPT separation attempts in the past century, one twin died in 4 twin set surgeries. Of 32 CPT separation attempts in the past 20 years, one twin died in 9 CPT cases (in 4 cases, death resulted from intraoperative massive blood loss and directional venous drainage/shunting, in 3 cases, one twin died before surgery because of other congenital cardiac/renal anomalies, and in 2 cases, cause of death not reported) 16,28-53 (Table 1).…”

“…Careful case selection for surgery, routine use of 3D print brain and skull models, simulation software, neuronavigation assistance, intraoperative adjuncts/tools, endovascular interventions, innovative surgical methods (distraction osteogenesis), multistage surgeries, and advanced perioperative intensive care availability enable better outcomes. Over the past 20 years, both twins survived in 21 of 32 separation attempts (65.6%) compared with 12 of 30 separation earlier (40%) 16,28-53 (Table 1).…”