Scintigraphic evaluation of craniopagus twins.
Craniopagus twinning is a rare congenital abnormality, occurring at a frequency of 4-6 per 10 million births. A case is reported in which separation was successful for both twins. The importance of pre-operative radionuclide assessment of crucial organ function (liver, kidneys, heart, brain) and crossed circulation is stressed. The scintigraphic results were in keeping with radiographic, operative, and clinical findings. The routine use of radionuclide studies in the investigation of conjoined twins is recommended in order to delineate individual organ function, degree of fusion and measurement of cross-circulation.
Sathekge
M M
MM
Department of Nuclear Medicine, Medical University of Southern Africa, Ga-Rankuwa Hospital, South Africa.
Venkannagari
R R
RR
Clauss
R P
RP
D001921:Brain / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D007668:Kidney / Q000000981:diagnostic imaging*; D008099:Liver / Q000000981:diagnostic imaging*; D008297:Male; D019690:Technetium Tc 99m Exametazime; D016284:Technetium Tc 99m Pentetate; D015899:Tomography, Emission-Computed, Single-Photon / Q000379:methods; D014428:Twins, Conjoined / Q000601:surgery
D019690:Technetium Tc 99m Exametazime; D016284:Technetium Tc 99m Pentetate