We present a case of successful separation of craniopagus conjoined twins. The procedure was staged to permit each child to develop adequate independent cerebral venous drainage and to prevent deleterious, perioperative cerebral edema. Surgical hemorrhage, blood product delivery, and hemodilution were minimized.
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http://dx.doi.org/10.1111/j.1460-9592.2005.01712.x | DOI Listing |
World Neurosurg
March 2024
Department of Maxillo-Facial Surgery, Semmelweis University, Budapest, Hungary.
This article has been removed: please see Elsevier Policy on Article Withdrawal (https://www.elsevier.com/locate/withdrawalpolicy).
View Article and Find Full Text PDFTwin Res Hum Genet
February 2024
Department of Psychology, California State University, Fullerton, California, USA.
This article begins with an overview of twin research in Brazil, initiated by the University of São Paulo Panel of Twins. I met with many new research collaborators and students while on a fall 2023 four-city lecture tour in that country. A meeting with a world-famous surgeon who recently separated craniopagus conjoined twin pairs is also described.
View Article and Find Full Text PDFJ Craniomaxillofac Surg
March 2024
Division of Plastic, Reconstructive and Oral Surgery, Children's Hospital of Philadelphia, 3401 Civic Center Boulevard, Philadelphia, PA, 19104, USA. Electronic address:
Computer-assisted design and computer-assisted modeling (CAD/CAM), virtual surgical planning (VSP) and augmented/virtual reality (AR/VR) aid our ability to plan and perform complex craniofacial procedures. This study seeks to define the role of the aforementioned techniques in the separation of craniopagus conjoined twins. Six teams were identified who had successfully performed craniopagus twin separation with the use of CAD/CAM, VSP and/or AR/VR.
View Article and Find Full Text PDFNurs Child Young People
May 2024
neurosurgery unit, Bambino Gesù Children's Hospital, Rome, Italy.
Craniopagus is a rare condition in which the skulls of conjoined twins, and the neurovascular structures in their skulls, are incompletely separated. Separation surgery is complex and requires a range of skills and expertise, including from all the nursing teams involved. A multidisciplinary group of professionals in a tertiary paediatric care setting in Italy developed a comprehensive protocol for the nursing care of craniopagus twins in hospital, informed by the findings of a literature review and the expertise of its members.
View Article and Find Full Text PDFClin Neurol Neurosurg
September 2023
Neurosurgery Unit, Bambino Gesù Children's Hospital, IRCCS, 4, piazza S. Onofriovb, 00165 Rome, Italy.
Craniopagus separation requires careful planning and a multi-staged surgical approach, managed by a multidisciplinary team. Despite growing experience on surgical management, the long-term restoration of the cranial defect has been rarely discussed so far. Several alloplastic materials have been proposed as effective and safe solutions for cranioplasty even for pediatric patients, allowing for bone generation, good aesthetic results, and low complication rates.
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