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Review Case Reports
Spinal cord involvement in pygopagus conjoined twins: case report and review of the literature.
- Graham Fieggen, Alastair Millar, Heinz Rode, Petronilla Ngiloi, Savvas Andronikou, and Jonathan Peter.
- Division of Paediatric Neuroscience (Neurosurgery), School of Child and Adolescent Health, University of Cape Town, South Africa. gfieggen@ich.uct.ac.za
- Childs Nerv Syst. 2003 Mar 1; 19 (3): 183-7.
IntroductionPygopagus conjoined twins are joined at the rump and have union of the gastrointestinal and genitourinary systems as well occasional involvement of neural elements.Case ReportWe report a case where the terminal spinal cords were fused, despite which there was only a minor motor deficit in the lower limbs after separation. The pre-operative and intra-operative findings are described and issues of long-term follow-up discussed.DiscussionSeven other cases reported in the literature with varying degrees of involvement of the spinal cord and cauda equina are reviewed.
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