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Separation of craniopagus twins: the Brisbane experience

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Abstract

Introduction

There are many problems facing the neurosurgeon when separating craniopagus twins. The condition is rare, with an incidence of 1 in 2.5 million births. As such there is a paucity of information in the literature regarding strategies for separation.

Survival rates

Over the last 20 years, there has been a gradual improvement in survival rates due to a combination of improved imaging, surgical/anaesthetic techniques and postoperative care. Currently, survival rates following surgery are at 50–60%. More information regarding this condition is needed to make surgical separation a safer event.

Aim

The aim of this article is to discuss the preoperative work-up, technical details of surgery, postoperative care and lessons learned with respect to the separation of craniopagus twins.

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Authors and Affiliations

  1. Kenneth G. Jamieson Neurosurgical Unit, Royal Brisbane and Royal Children’s Hospitals, Brisbane, 4029, Australia

    Scott Campbell

Authors
  1. Scott Campbell
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Correspondence to Scott Campbell.

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Campbell, S. Separation of craniopagus twins: the Brisbane experience. Childs Nerv Syst 20, 601–606 (2004). https://doi.org/10.1007/s00381-004-0990-7

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  • DOI: https://doi.org/10.1007/s00381-004-0990-7

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