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Craniopagus twinning is an extremely uncommon birth defect with an estimated incidence of 4–6 every 10 million births. The most complex and challenging issue is the feasibility of surgical separation, which involves not only technical but also socioethical problems and requires strict multidisciplinary cooperation between pediatricians, neuroradiologists, anesthesiologists, and plastic and neurological surgeons. The authors report a case in which separation was followed by the death of both twins and stress the importance, from the surgical and prognostic viewpoints, of the degree of vascular connections between the major dural sinuses, We propose a classification into three types according to severity.
Key wordsCraniopagus twins Unsuccessful separation Degree of vascular connections
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- 7.Guttmacher AF, Nichols BL (1967) Teratology of conjoined twins. Birth Defects 3:3–9Google Scholar
- 11.Kohama A, Watanabe Y, Okatani K, Horibe K, Takasugi Y, Ohta M (1972) Experience of anesthesia for separation of parietal conjoined twins. Jpn J Anesthesiol 21:571–577 (abstr)Google Scholar
- 12.Leiter K (1932) Ein craniopagus parietalis vivens. Zentralbl Gynäkol 56:1644–1651Google Scholar
- 13.Münster S (1559) Cosmographiae universalis (Latin ed 1559, lib 3, p 625; French ed 1575, 1: liv 3; German ed 1628, book 5, p 1059)Google Scholar
- 17.Pertuiset B (1975) Séparation de jumelles craniopages. Nouv Presse Med 16:1171–1172Google Scholar
- 18.Potter EL (1961) Pathology of the foetus and infant, 2nd edn, chap 13. Year book Medical Publishers, ChicagoGoogle Scholar
- 19.Roberts TS (1985) Craniopagus twins. In: Wilkins RH, Renghachary SS (eds) Neurosurgery. McGraw-Hill, New York, pp 2091–2096Google Scholar