{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T15:35:29Z","timestamp":1779896129177,"version":"3.53.1"},"reference-count":25,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1987,1]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 A case of craniopagus twins joined in the temporoparietal area is presented, along with a review of the literature on craniopagus. A large area of brain was shared between the neurologically normal infants, with defects in the scalp, skull, and dura. The twins were separated in a three-step procedure. First, areas of shared brain were divided and separated with silicone sheets. The second procedure consisted of the insertion of scalp expanders to allow primary skin closure. In the third procedure complete separation was performed which was complicated by severe hypotension in one infant that was due to dural sinus hemorrhage. Cerebrospinal fluid leak was the most difficult problem encountered in the postoperative period; this was treated with lumboperitoneal and ventriculoperitoneal shunts. After 2 years, one twin is neurologically normal; the other is severely developmentally delayed, possibly related to the severe hypotension experienced during the third procedure. A review of the literature on craniopagus is presented. Analysis of data in the literature suggests that the area involved in the craniopagus as well as the venous connections are closely related to survival following separation of craniopagus twins.<\/jats:p>","DOI":"10.3171\/jns.1987.66.1.0072","type":"journal-article","created":{"date-parts":[[2009,5,8]],"date-time":"2009-05-08T16:17:54Z","timestamp":1241799474000},"page":"72-79","source":"Crossref","is-referenced-by-count":36,"title":["Temporoparietal craniopagus"],"prefix":"10.3171","volume":"66","author":[{"given":"Richard D.","family":"Bucholz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kong-Woo","family":"Yoon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raymond E.","family":"Shively","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1136\/jnnp.21.3.195","article-title":"The surgical separation of Siamese twins conjoined by the heads (cephalopagus frontalis) followed by normal development.","volume":"21","author":"Baldwin","year":"1958"},{"key":"b2","series-title":"Rev Brasil Cir","first-page":"1047","article-title":"Tentativa cir\u00fargica em urn caso de craniopagos.","volume":"18","author":"Barbosa","year":"1949"},{"key":"b3","series-title":"Lancet","first-page":"284","article-title":"A craniopagus.","volume":"1","author":"Cameron","year":"1928"},{"key":"b4","series-title":"Teratology","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1002\/tera.1420250306","article-title":"Conjoined twins in the United States, 1970\u20131977.","volume":"25","author":"Edmonds","year":"1982"},{"key":"b5","series-title":"JAMA","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1001\/jama.1953.02940200023006","article-title":"Surgical separation in craniopagus.","volume":"153","author":"Grossman","year":"1953"},{"key":"b6","series-title":"Indian Pediatr","first-page":"727","article-title":"Case of the month: conjoined twins \u2014 craniopagus.","volume":"16","author":"Jain","year":"1979"},{"key":"b7","series-title":"Jpn J Anesthesiol","first-page":"571","article-title":"Anesthesia in separation of craniopagus twins.","volume":"21","author":"Kohama","year":"1972"},{"key":"b8","series-title":"Zentralbl Gynakol","first-page":"1644","article-title":"Ein Craniopagus parietalis vivens.","volume":"56","author":"Leiter","year":"1932"},{"key":"b9","series-title":"Pediatr Radiol","doi-asserted-by":"publisher","first-page":"230","DOI":"10.1007\/BF00975542","article-title":"Angiographic evaluation of conjoined twins.","volume":"6","author":"Marcinski","year":"1978"},{"key":"b10","series-title":"Bull Fed Gynecol Obstet Franc","first-page":"455","article-title":"Pr\u00e9sentation d'une paire de soeurs siamoises unies par le cr\u00e2ne.","volume":"15","author":"Nolot","year":"1963"},{"key":"b11","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1136\/jnnp.39.1.1","article-title":"Craniopagus twins: surgical anatomy and embryology and their implications.","volume":"39","author":"O'Connell","year":"1976"},{"key":"b12","series-title":"Br J Surg","first-page":"841","article-title":"An operation to separate craniopagus twins.","volume":"55","author":"O'Connell","year":"1968"},{"key":"b13","series-title":"Br Med J","doi-asserted-by":"publisher","first-page":"1333","DOI":"10.1136\/bmj.1.5394.1333-a","article-title":"Surgical separation of two pairs of craniopagus twins.","volume":"1","author":"O'Connell","year":"1964"},{"key":"b14","series-title":"Nouv Presse Med","first-page":"1171","article-title":"S\u00e9paration des jumelles cr\u00e2niopages.","volume":"4","author":"Pertuiset","year":"1975"},{"key":"b15","series-title":"Pathology of the Fetus and Infant","first-page":"217","author":"Potter","year":"1961"},{"key":"b16","series-title":"Arch Neurol Psychiatry","first-page":"189","article-title":"Craniopagus parietalis. Report of a case.","volume":"7","author":"Robertson","year":"1953"},{"key":"b17","series-title":"Statistical Analysis System User's Guide: Statistics.","author":"SAS Institute","year":"1982"},{"key":"b18","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1097\/00006534-198511000-00019","article-title":"Separation of craniopagus twins utilizing tissue expanders.","volume":"76","author":"Shively","year":"1985"},{"key":"b19","series-title":"AJNR","first-page":"206","article-title":"Radiological investigation of craniopagus twins (partial type).","volume":"4","author":"Stanley","year":"1983"},{"key":"b20","series-title":"J Neurol Neurosurg Psychiatry","doi-asserted-by":"publisher","first-page":"1291","DOI":"10.1136\/jnnp.37.12.1291","article-title":"Craniopagus twins.","volume":"37","author":"Todorov","year":"1974"},{"key":"b21","series-title":"Childs Brain","first-page":"149","article-title":"Total craniopagus twins.","volume":"8","author":"Villarejo","year":"1981"},{"key":"b22","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"548","DOI":"10.3171\/jns.1957.14.5.0548","article-title":"Successful separation of craniopagus twins.","volume":"14","author":"Voris","year":"1957"},{"key":"b23","series-title":"Ann Surg","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1097\/00000658-195705000-00014","article-title":"Surgery in \u201cSiamese\u201d twins: a report of three sets of conjoined twins treated surgically.","volume":"145","author":"Wilson","year":"1957"},{"key":"b24","series-title":"South Afr Med J","first-page":"412","article-title":"Separation of craniopagus twins.","volume":"42","author":"Wolfowitz","year":"1968"},{"key":"b25","series-title":"Anesth Analg (Cleve)","first-page":"883","article-title":"Anesthetic management for separation of craniopagus twins.","volume":"59","author":"Wong","year":"1980"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/66\/1\/article-p72.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/66\/1\/article-p72.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/66\/1\/article-p72.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,24]],"date-time":"2022-07-24T17:07:25Z","timestamp":1658682445000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/66\/1\/article-p72.xml"}},"subtitle":["Case report and review of the literature"],"short-title":[],"issued":{"date-parts":[[1987,1]]},"references-count":25,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.3171\/jns.1987.66.1.0072","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1987,1]]}}}