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Medical condition
Craniopagus twins
Craniopagus twins
Specialty
Neurosurgery, neuroimaging, medical genetics
Usual onset
In utero
Diagnostic method
Obstetric ultrasonography
Frequency
1 in 2.5 million live births
Look up craniopagus in Wiktionary, the free dictionary.
Craniopagus twins are conjoined twins who are fused at the cranium.[1] The union may occur on any portion of the cranium, but does not primarily involve either the face or the foramen magnum; their brains are usually separate, but they may share some brain tissue. Conjoined twins are genetically identical and always share the same sex.[2] The thorax and abdomen are separate and each twin has their own umbilicus and umbilical cord.[3]
The condition is extremely rare, with an incidence of approximately 1 in 2.5 million live births.[3] An estimated 50 craniopagus twins are born around the world every year as of 2021[update], with only 15 twins surviving beyond the first 30 days of life.[4] Relatively few craniopagus twins survive the perinatal period; approximately 40% of conjoined twins are stillborn and an additional 33% die within the immediate perinatal period, usually from organ abnormalities and failure.[5]
However, 25% of craniopagus twins survive and may be considered for a surgical separation; several such attempts occur annually worldwide.[6] Advances in neuroimaging, neuroanesthesia, and neurosurgery have proven that a successful outcome is possible.[3] Among all conjoined twins, craniopagus twins account for a mere 2% to 6%.[3]
^A. B. Todorov; K. L. Cohen; V. Spilotro; E. Landau (1974). "Craniopagus twins" (PDF). Journal of Neurology, Neurosurgery & Psychiatry. 37 (12): 1291–1298. doi:10.1136/jnnp.37.12.1291. PMC 1083642. PMID 4448993. Retrieved 6 September 2021.
^Cite error: The named reference mayo was invoked but never defined (see the help page).
^ abcdA.E. Goldman-Yassen; J.T. Goodrich; T.S. Miller; J.M. Farinhas (June 2020). "Preoperative Evaluation of Craniopagus Twins: Anatomy, Imaging Techniques, and Surgical Management". American Journal of Neuroradiology. 41 (6): 951–959. doi:10.3174/ajnr.A6571. PMC 7342745. PMID 32439641. Retrieved 6 September 2021.
^Isabella Kwai; Myra Noveck (6 September 2021). "Twins Conjoined at the Head Separated in Israel". New York Times. Retrieved 6 September 2021.
^Samuel R. Browd; James T. Goodrich; Marion L. Walker (January 2008). "Craniopagus twins". Journal of Neurosurgery: Pediatrics. 1 (1): 1–20. doi:10.3171/PED-08/01/001. PMID 18352797. S2CID 21056359. Retrieved 6 September 2021.
^Jen Christensen (24 April 2014). "Conjoined twins: When parents have to make a difficult decision". CNN. Retrieved 2022-02-09.
Look up craniopagus in Wiktionary, the free dictionary. Craniopagustwins are conjoined twins who are fused at the cranium. The union may occur on any...
or four (tetrabrachius) arms. Survival rate is poor. Craniopagus parasiticus: Like craniopagus, but with a second bodiless head attached to the dominant...
development of craniopagus parasiticus is not well known. However, it is known that the underdeveloped twin is a parasitic twin. Parasitic twins are known...
Tatiana Hogan (born October 25, 2006) are Canadians who are conjoined craniopagustwins. They are joined at the head and share a skull and a brain. They were...
Burns D, Lowichik A (1997). "Craniopagus parasiticus: a case illustrating its relationship to craniopagus conjoined twinning". Pediatric Pathology and Laboratory...
Jadon and Anias McDonald are a pair of formerly conjoined craniopagustwins. They were separated by Dr. James Goodrich and a team of forty doctors in...
first set of conjoined twins to identify as different genders. Born as Lori and Dori Schappell, they were craniopagus conjoined twins joined at the head....
about the operation: "In the end, the Bandas became the first Type 2 craniopagustwins (joined at the head and facing in opposite directions) ever separated...
each twin). Conjoined twins appear in one in 50,000 to one in 100,000 births. Dicephalic twins represent about 11 percent of all conjoined twins. As late...
completed and, at two years old, Clarence and Carl became the first craniopagustwins to be separated using a staged method. Goodrich, plastic surgeon David...
took initiative to completely sponsor the expenses for separating Craniopagustwins Jaga-Balia. The state health department, in co-ordination with AIIMS...
craniofacial duplication), or an extreme form of parasitic twin (an unequal conjoined twin). Craniopagus parasiticus Diprosopus Futakuchi-onna Janus Polycephaly...
on craniopagus Zambian twins Joseph and Luka Banda, which resulted in a normal neurological outcome. Two sets of twins died, including Iranian twins Ladan...
Hospital, pioneer in hemispherectomy, and pioneer in the separation of craniopagustwins (joined at the head); former 2016 Republican Party presidential candidate...
clinical outcomes. Dr Owase Jeelani is known for his work separating craniopagustwins in 2011, 2019, 2020 2021 and 2022. In 2019, he founded the charity...
Raffles Hospital undertook the surgical separation of a pair of adult craniopagustwins, Laleh Bijani and Ladan Bijani of Iran. The surgery was led by Dr...
lovastatin. September 5 - The first successful surgical separation of craniopagustwins is done by Dr. Ben Carson. December 29 – Prozac makes its debut in...
torso. In dicephalus parapagus dipus, the two heads are side by side. In craniopagus parasiticus, the two heads are joined directly to each other, but only...
S2CID 26512062. Goh, K.Y.C., 2004. Separation surgery for total vertical craniopagustwins. Child’s Nervous System 20, 567–575. "Separate Fates". 2004. Wang...
Anastasia and Tatiana Dogaru (born 13 January 2004) are craniopagus conjoined twins. They were scheduled to begin the first of several surgeries to separate...
God’s guidance, most notably, the separation of two craniopagus German twins, the first such twins joined at the back of the cranium to both survive a...
involved in the planning of several craniopagustwin separations, most notably the Zambian twins (1997) and the German twins (2004) at Johns Hopkins Hospital...
(1971–1982), American murder victim Krista Hogan (born 2006), Canadian craniopagus conjoined twin Krista Howell, Canadian politician Krista De Jonge (born 1950)...
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