Craniopagus twins

Samuel R. Browd Division of Pediatric Neurosurgery, Department of Neurosurgery, Primary Children's Medical Center, University of Utah Health Sciences Center, Salt Lake City, Utah; and

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James T. Goodrich Department of Neurosurgery, Albert Einstein/Montefiore Medical Center, Bronx, New York

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Marion L. Walker Division of Pediatric Neurosurgery, Department of Neurosurgery, Primary Children's Medical Center, University of Utah Health Sciences Center, Salt Lake City, Utah; and

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✓Craniopagus twins represent a rare phenomenon of congenital misfortune. Modern neurosurgical techniques have created opportunities for successful separation and the promise of a normal existence for these children, who in the past were often left as historical footnotes or put on display as oddities of nature. The authors document a brief history of conjoined twinning and discuss the modern science of craniopagus epidemiology, classification, and separation. In particular, the strategies used and the rationale for staged surgical separation are highlighted.

Abbreviations used in this paper:

CT = computed tomography; MR = magnetic resonance; SSS = superior sagittal sinus.
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  • 1

    Ballantine RI, & Jackson I: Anaesthesia for separation of craniopagus twins. Br Med J 1:5394 13391340, 1964

  • 2

    Bancovsky I, , Bianco E, & Moreira FA: Computed tomography in craniopagus occipitalis twins. J Comput Assist Tomogr 3:836837, 1979

  • 3

    Bondeson J, & Allen E: Craniopagus parasiticus. Everard Home's Two-Headed Boy of Bengal and some other cases. Surg Neurol 31:426434, 1989

  • 4

    Bucholz RD, , Yoon KW, & Shively RE: Temporoparietal craniopagus. Case report and review of the literature. J Neurosurg 66:7279, 1987

  • 5

    Dinner M: A review of the problem of conjoined twins. S Afr Med J 42:409411, 1968

  • 6

    Edmonds LD, & Layde PM: Conjoined twins in the United States, 1970–1977. Teratology 25:301308, 1982

  • 7

    Förster A: Die Missbildungen des Menschen Systematisch Dargestellt Jena, Friedrich Manke, 1865

  • 8

    Georges LS, , Smith KW, & Wong KC: Anesthetic challenges in separation of craniopagus twins. Anesth Analg 66:783787, 1987

  • 9

    Girshin M, , Broderick C, , Patel D, , Chacko S, , Reddy S, & Staffenberg D, et al.: Anesthetic management of staged separation of craniopagus conjoined twins. Paediatr Anaesth 16:347351, 2006

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10

    Home E: Lectures on Comparative Anatomy; in Which are Explained the Preparations in the Hunterian Collection London, G & W Nichol, 18141828

  • 11

    Huang WQ, , Fang JY, , Xiao LC, , Jiang XP, , Xia JH, & Feng X, et al.: Anesthetic management for separation of craniopagus twins. Acta Anaesthesiol Scand 48:919921, 2004

  • 12

    Jansen O, , Mehrabi VA, & Sartor K: Neuroradiological findings in adult cranially conjoined twins. Case report. J Neurosurg 89:635639, 1998

  • 13

    Khan ZH, , Tabatabai SA, & Saberi H: Anesthetic and surgical experience in a case of total vertical craniopagus. Surg Neurol 52:6267, 1999

  • 14

    Kingston CA, , McHugh K, , Kumaradevan J, , Kiely EM, & Spitz L: Imaging in the preoperative assessment of conjoined twins. Radiographics 21:11871208, 2001

  • 15

    Marcinski A, , Lopatec HU, , Wermenski K, , Wocjan J, , Gajewski Z, & Kaminski W, et al.: Angiographic evaluation of conjoined twins. Pediatr Radiol 6:230232, 1978

  • 16

    O'Connell JE: Craniopagus twins: surgical anatomy and embryology and their implications. J Neurol Neurosurg Psychiatry 39:122, 1976

  • 17

    Paré A, On Monsters and Marvels Pallister JL: Chicago, University of Chicago Press, 1982

  • 18

    Potter EL: The Pathology of the Fetus and Infant ed 2. Chicago, Year Book Medical, 1961

  • 19

    Roberts T, Cephalopagus twins. Hoffman HJ, & Epstein F: Disorders of the Developing Nervous System: Diagnosis and Treatment Boston, Blackwell Scientific, 1986. 255266

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20

    Roberts T, Cerebral venous abnormalities in craniopagus twins. Kapp JP, & Schmidek HH: The Cerebral Venous System and Its Disorders Orlando, Grune & Stratton, 1984. 355371

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 21

    Rutka JT, , Souweidane M, , ter Brugge K, , Armstrong D, , Zuker R, & Clarke H, et al.: Separation of craniopagus twins in the era of modern neuroimaging, interventional neuroradiology, and frameless stereotaxy. Childs Nerv Syst 20:587592, 2004

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 22

    Sakala EP: Obstetric management of conjoined twins. Obstet Gynecol 67:3 Suppl 21S25S, 1986

  • 23

    Spencer R: Conjoined Twins: Developmental Malformations and Clinical Implications Baltimore, Johns Hopkins University Press, 2003

  • 24

    Stone JL, & Goodrich JT: The craniopagus malformation: classification and implications for surgical separation. Brain 129:10841095, 2006

  • 25

    Walker M, & Browd SR: Craniopagus twins: embryology, classification, surgical anatomy, and separation. Childs Nerv Syst 20:554566, 2004

  • 26

    Winston KR: Craniopagi: anatomical characteristics and classification. Neurosurgery 21:769781, 1987

  • 27

    Wong KC, , Ohmura A, , Roberts TH, , Webster LR, & Cook GL: Anesthetic management for separation of craniopagus twins. Anesth Analg 59:883886, 1980

  • 28

    Wong TG, , Ong BC, , Ang C, & Chee HL: Anesthetic management for a five-day separation of craniopagus twins. Anesth Analg 97:9991002, 2003

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