Separation of conjoined spinal cords in symmetrical pygopagus twins using intraoperative neuromonitoring: pearls and pitfalls.

Autor: Mahmoud MA; Neurosurgery department, Ain Shams University, Cairo, Egypt. Mo.ash.has@gmail.com., Elshawady SB; Neurosurgery department, Ain Shams University, Cairo, Egypt., Korkar GH; Neurosurgery department, Ain Shams University, Cairo, Egypt., Hussein SM; Physiology department, Suez Canal University, Ismailia, Egypt., Elserry TH; Neurosurgery department, Ain Shams University, Cairo, Egypt., Mahmoud MWS; Neurosurgery department, Ain Shams University, Cairo, Egypt.
Jazyk: angličtina
Zdroj: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery [Childs Nerv Syst] 2023 Jul; Vol. 39 (7), pp. 1949-1955. Date of Electronic Publication: 2023 Mar 23.
DOI: 10.1007/s00381-023-05912-5
Abstrakt: Pygopagus twin is a rare congenital malformation with a worldwide incidence of 1in 200,000. Few literature reports are published regarding the matter. In some cases, neuromonitoring is essential for safe surgical separation. We believe it is important to share our challenges and nuances in order to minimize obstacles one might encounter. We utilized neuromonitoring during our separation of both twins, and we planned a multidisciplinary approach and efficient communication system with the other teams in order to plan a successful, safe, and timely separation of the twins. We seek to highlight not our success but rather the obstacles and challenges we encountered during the separation of pygopagus twins in our institute using neuromonitoring for future reference.
(© 2023. The Author(s).)
Databáze: MEDLINE
Externí odkaz: