Anesthetic Management and Radiological Findings in Craniopagus Conjoined Twins on Nuclear Magnetic Resonante

  • Roberto Rivera Díaz Anestesiólogo. Docente de Anestesia y Dolor, Universidad CES, Instituto Colombiano del Dolor, Medellín, Colombia.
  • José Luis Ascencio Lancheros Neuroradiólogo. Instituto Neurológico de Antioquia. Medellín, Colombia.
  • Valentina Cifuentes Hoyos Medica general. Docente Facultad de Medicina Universidad CES. Medellín, Colombia.
Keywords: Twins, conjoined, craniopagus, cross circulation, magnetic resonance spectroscopy, anesthesia, airway management.

Abstract

The prevalence of conjoined twins is extremely low, but whenever a case occurs, it is of the utmost importance to have a multidisciplinary team consisting of an anesthesiologist, a radiologist, a pediatrician, and specialists in various surgical areas, depending on the type of conjoined twins. Likewise, it is critical to consider all the physiological, pharmacodynamic and anatomical implications, including cross circulation. The goal is to plan appropriately in order to enable the best possible result. This report is intended to present a case of 3 day-old craniopagus conjoined female twins scheduled for nuclear magnetic resonance (MRI).

References

1. Huang WQ, Fang JY, Xiao LC, et al. Anesthetic management for separation of craniopagus twins. Acta Anaesthesiol Scand. 2004;48:919-21.
2. Parameswari A, Vakamudi M, Raghupathy V, et al. Anaesthetic management of total craniopagus twins for magnetic resonance imaging and cerebral angiography. Br J Anaesth. 2010;105:368-70.
3. Girshin M, Broderick C, Patel D, et al. Anesthetic management of staged separation of craniopagus conjoined twins. Paediatr Anaesth. 2006;16:347-51.
4. Thomas JM. Anaesthesia for conjoined twins. Childs Nerv Syst. 2004;20:538-46.
5. Browd SR, Goodrich JT, Walker ML. Craniopagus twins. J Neurosurg Pediatrics. 2008;1:1-20.
6. O'Connell JE. Craniopagus twins: surgical anatomy and embryology and their implications. J Neurol Neurosurg Psychiatry. 1976;39:1-22.
7. Bucholz RD, Yoon KW, Shively RE. Temporoparietal craniopagus. Case report and review of the literature. J Neurosurg. 1987;66:72-9.
8. Stone JL, Goodrich JT. The craniopagus malformation: classification and implications for surgical separation. Brain. 2006;129:1084-95.
9. Khan ZH, Tabatabai SA, Saberi H. Anesthetic and surgical experience in a case of total vertical craniopagus. Surg Neurol. 1999;52:62-7.
10. Pietrini D, Valenti M, Pusateri A, et al. Perioperative management of face-to-face craniopagus twins separation. Pediatric Anesthesia. 2005;15:519-24.
How to Cite
1.
Rivera Díaz R, Ascencio Lancheros JL, Cifuentes Hoyos V. Anesthetic Management and Radiological Findings in Craniopagus Conjoined Twins on Nuclear Magnetic Resonante. Colomb. J. Anesthesiol. [Internet]. 2011 Oct. 1 [cited 2024 Apr. 26];39(4):596-603. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/514

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Published
2011-10-01
How to Cite
1.
Rivera Díaz R, Ascencio Lancheros JL, Cifuentes Hoyos V. Anesthetic Management and Radiological Findings in Craniopagus Conjoined Twins on Nuclear Magnetic Resonante. Colomb. J. Anesthesiol. [Internet]. 2011 Oct. 1 [cited 2024 Apr. 26];39(4):596-603. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/514
Section
Case Report / Case Series

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