A Case of Craniopagus Twins

ABSTRACT

The craniopagus twins to be described were admitted to SNUH on 20 Nov, 1981. Their mother was a healthy woman of 32 and Caesarean Section was performed at the 38th week at a local clinic. Their combined weight was 4.75kg and their subsequent progress was satisfactory. They were grown at the nursery of SNUH. Twin B had anemia and congestive heart failure. On the 181th day of life, twin B developed sudden respiratory arrest. About 25 minutes after death of twin B, we performed emergent operation to separate them for survival of twin A. We obtained the interesting findings as followings;A dural shelf was present on one side of junction, a leptomeningeal coverage on the other. Cerebral hemisphere was interdigitated on the side of leptomeningeal coverage. Pons were interconnected by nervous band.