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Successful multistaged operative separation of 3-year-old craniopagus twins in a multidisciplinary, international collaboration

      The birth of conjoined or Siamese twins occurs once in every 50,000 births.
      • Potter E.L.
      Pathology of the Fetus and Infant.
      Attachment at the skull (craniopagus malformation) is very rare and seen in only 2% to 6% of all cases of conjoined twins, which makes the incidence of craniopagus twins 1 in 2.5 million births.
      • Harvey D.J.
      • Totonchi A.
      • Gosain A.K.
      Separation of craniopagus twins over the past 20 years: A systematic review of the variables that lead to successful separation.
      In this report, we present a case of craniopagus twins with special anatomic challenges, in whom an operative separation was carried out by a carefully planned, multistage, multidisciplinary approach to provide enhanced quality of life.
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