Successful Separation of Craniopagus Parasiticus

Lotfy, Mohamed; Sakr, Sameh; Ayoub, Basim

doi:10.1227/01.neu.0000245587.23710.a6

Cited by 8 publications

(8 citation statements)

References 6 publications

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“…Recently, Manar Maged, the normal twin of craniopagus parasitic twins, underwent surgery, which is an indication that a normal twin can survive. Manar Maged was able to survive without any signs of paralysis until a few days before her second birthday when she died due to a severe infection in her brain [12]. …”

Section: Discussionmentioning

confidence: 99%

Craniopagus parasiticus – a parasitic head protruding from temporal area of cranium: a case report

et al. 2016

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BackgroundCraniopagus parasiticus is rare with an incidence of approximately four to six cases in 10,000,000 births. In our case, the head of the parasitic twin protruded from the temporal area of the normal twin’s cranium. The parasitic twin had two deformed lower limbs, of which one was rudimentary, and long bones of the bilateral lower limbs and some pelvic bone. Dissection of the mass of the parasitic twin’s body revealed the intestine but no chest organs or abdominal organs. There was a rudimentary labium but no vaginal opening. In resource-limited countries, maternal age or nutritional factors may play a role in craniopagus parasiticus.Case presentationA 38-year-old multigravida (gravida V para IV) woman of Amhara ethnicity was referred from a rural health center to our hospital due to prolonged second stage of labor at 42+1 weeks. On her arrival at our hospital, an obstetrician decided to do a caesarean section because she was unable to deliver vaginally. A live baby girl weighing 4200 g was delivered. The placenta was single and normal. Her Appearance, Pulse, Grimace, Activity, and Respiration scores were 7 and 9 at 1 and 5 minutes, respectively. She appeared to be grossly normal except for the parasitic co-twin attached to her cranium. After a week of extensive counselling and investigation, a successful separation operation was done. Postoperation, she comfortably suckled on the breast and had no neurological deficit. Two weeks after separation she was discharged in a good healthy condition with an arrangement for postnatal follow up.ConclusionsThe causes of craniopagus parasiticus are still unknown due to a rarity of cases and a limited number of studies on it. There have been only nine to ten cases of craniopagus parasiticus, of which only three survived past birth and were documented in the literature. Genetic scientists and researchers continue to investigate this case because they might find explanations for the birth defect, and provide answers to improve the prognosis and the life chances of twins with craniopagus parasiticus.

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Section: Discussionmentioning

confidence: 99%

Craniopagus parasiticus – a parasitic head protruding from temporal area of cranium: a case report

et al. 2016

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“…7 Due to the rarity of the condition, CP is infrequently mentioned in the literature. 1,3 During the last 10 years, only a few cases have been reported. These four cases are summarised in Table I.…”

Section: Discussionmentioning

confidence: 99%

“…The first reported case of this congenital malformation was Everard Home's 'Twin-headed boy of Bengal' in 1790, whose skull is preserved at the Hunterian Museum. 1,3,4 Later on, only two cases have been published, where an antenatal diagnosis of CP was made by ultrasonography (USG) screening at 28 weeks of gestation by Okazaki et al 5 and 20 weeks of gestation by Aquino et al 6 We report on a case of CP, diagnosed at 16 weeks of gestation by ultrasound screening. To the best of our knowledge, the case that we present is the first CP case that was diagnosed at such an early gestational age.…”

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confidence: 92%

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A case of craniopagus parasiticus: an antenatal diagnosis by ultrasound screening at 16 weeks of gestation and a literature review of recently reported cases

Al-Yaqoubi¹,

Fatema²,

Al-Fahdi³

2019

Turk J Pediatr

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Fahdi BS. A case of craniopagus parasiticus: an antenatal diagnosis by ultrasound screening at 16 weeks of gestation and a literature review of recently reported cases. Turk J Pediatr 2019; 61: 941-945. Craniopagus parasiticus (CP) is a rare type of malformation of conjoined twins, with one degenerated or underdeveloped parasite twin united at the cranium with the other fully developed twin. Only a handful of cases have been documented in the literature to date. The incidence of this rare deformity is approximately 4 to 6 out of every 10,000,000 live births. We report on a case of CP, diagnosed at 16 weeks of gestation by ultrasound screening. To the best of our knowledge, the case that we present is the first CP case that was diagnosed at such an early gestational age. The formed fetus was found to harbour complex cardiac anomalies. In view of poor prognosis of survival after delivery and upon permission from the couple, the pregnancy was terminated at 17 weeks of gestation.

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“…Se demuestra que este tipo de patología posee suficientes registros, se sabe que puede presentarse en diferentes grupos zoológicos, por ejemplo en mamíferos (7-10); específicamente para búfalo murrah se tiene hallazgo de dicephalus dipus dibrachious (6), y para búfalos en general existen registros de este tipo de malformación en diferentes publicaciones (11); entre los anfibios y reptiles también se presentan los gemelos siameses (12).…”

Section: Discussionunclassified

Descripción de gemelos siameses de Bubalus bubalis bubalis (Búfalo), Sucre, Colombia

2010

Rev MVZ Córdoba

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El presente trabajo muestra el hallazgo de gemelos siameses de Bubalus bubalis bubalis (Murrah x Nili Ravi) en una la finca, dedicada a la explotación de esta especie de ganado y ubicada en el municipio de San Marcos, departamento de Sucre, Colombia. Los neonatos siameses se identificaron por las características externas con respecto al tipo de unión como isquiópagos sincéfalos. Se presentan datos de la necropsia y se describen órganos y estructuras internas de los animales.Palabras clave: Bubalus bubalis bubalis, gemelos siameses, isquiópagos, Colombia. ABSTRACTThe present paper reports of Siamese twins Bubalus bubalis bubalis (Murrah x Nili Ravi) on a farm, dedicated to the exploitation of this species of livestock and located in the municipality of San Marcos, Sucre Department, Colombia. The Siamese infants were identified by external characteristics regarding the type of union as isquiópagos sincéfalos. Data of the autopsy and a description of organs and internal structures of animals are showed.

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Successful Separation of Craniopagus Parasiticus

Abstract: This is the second case of craniopagus parasiticus in which separation was attempted. The first patient, operated on in the Dominican Republic, died 7 hours after surgery. In the present case, the child is still alive and without neurological deficit.

Cited by 8 publications

References 6 publications

Craniopagus parasiticus – a parasitic head protruding from temporal area of cranium: a case report

Craniopagus parasiticus – a parasitic head protruding from temporal area of cranium: a case report

A case of craniopagus parasiticus: an antenatal diagnosis by ultrasound screening at 16 weeks of gestation and a literature review of recently reported cases

Descripción de gemelos siameses de Bubalus bubalis bubalis (Búfalo), Sucre, Colombia

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