Surgical nuances in the separation of craniopagus twins - Our experience and a follow up of 15 years

We present a case of partially successful elective separation of partial angular craniopagus twins performed in 2002.The surviving twin was managed conservatively for a cerebrospinal fluid leak. The patient subsequently developed a pseudomeningocele, necessitating re-exploration, excision of the gliotic tissue, and repair of the dura and the overlying scalp flap. The patient has a skull defect for which cranioplasty has been deferred. The child is neurologically intact. The post-operative evaluation and the detailed periodic neurological assessment till date (with a follow up of 15 years) have been presented in this study.

Source: Neurology India - March 15, 2018 Category: Neurology Authors: Muralidhar Pai K R Chandrasekhar Naidu A Raja YS Rai Niranjan Kumar Anand Kini Santhosh Joseph Vinod Hegde HS Ballal Ramoorthi Rao Saroja V Sharma Vinay Kumar Valakatte Source Type: research