Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins

Craniopagus conjoined twins are extraordinarily rare and present unique challenges to the multidisciplinary team. There is a paucity of literature on optimizing neuro-ophthalmologic evaluation in craniopagus twins. Herein, we present our enhanced neuro-ophthalmologic evaluation and management in 17-...

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Autores principales: Rufai, Sohaib R, Gore, Sri, Handley, Sian E, Marmoy, Oliver R, Ong, Juling, Dunaway, David J, Jeelani, Noor ul Owase
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861574/
https://www.ncbi.nlm.nih.gov/pubmed/33569170
http://dx.doi.org/10.1093/jscr/rjaa606
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author Rufai, Sohaib R
Gore, Sri
Handley, Sian E
Marmoy, Oliver R
Ong, Juling
Dunaway, David J
Jeelani, Noor ul Owase
author_facet Rufai, Sohaib R
Gore, Sri
Handley, Sian E
Marmoy, Oliver R
Ong, Juling
Dunaway, David J
Jeelani, Noor ul Owase
author_sort Rufai, Sohaib R
collection PubMed
description Craniopagus conjoined twins are extraordinarily rare and present unique challenges to the multidisciplinary team. There is a paucity of literature on optimizing neuro-ophthalmologic evaluation in craniopagus twins. Herein, we present our enhanced neuro-ophthalmologic evaluation and management in 17-month-old male craniopagus twins, uniquely using handheld optical coherence tomography (OCT) plus portable slit-lamp biomicroscopy, indirect ophthalmoscopy and modified forced-choice preferential looking assessment. Staged surgical separation was supported by enhanced neuro-ophthalmologic evaluation, detailed radiology, three-dimensional printing and virtual reality simulation. This represents the fourth separation of craniopagus twins by our unit.
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spelling pubmed-78615742021-02-09 Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins Rufai, Sohaib R Gore, Sri Handley, Sian E Marmoy, Oliver R Ong, Juling Dunaway, David J Jeelani, Noor ul Owase J Surg Case Rep Case Report Craniopagus conjoined twins are extraordinarily rare and present unique challenges to the multidisciplinary team. There is a paucity of literature on optimizing neuro-ophthalmologic evaluation in craniopagus twins. Herein, we present our enhanced neuro-ophthalmologic evaluation and management in 17-month-old male craniopagus twins, uniquely using handheld optical coherence tomography (OCT) plus portable slit-lamp biomicroscopy, indirect ophthalmoscopy and modified forced-choice preferential looking assessment. Staged surgical separation was supported by enhanced neuro-ophthalmologic evaluation, detailed radiology, three-dimensional printing and virtual reality simulation. This represents the fourth separation of craniopagus twins by our unit. Oxford University Press 2021-02-04 /pmc/articles/PMC7861574/ /pubmed/33569170 http://dx.doi.org/10.1093/jscr/rjaa606 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rufai, Sohaib R
Gore, Sri
Handley, Sian E
Marmoy, Oliver R
Ong, Juling
Dunaway, David J
Jeelani, Noor ul Owase
Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins
title Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins
title_full Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins
title_fullStr Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins
title_full_unstemmed Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins
title_short Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins
title_sort enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7861574/
https://www.ncbi.nlm.nih.gov/pubmed/33569170
http://dx.doi.org/10.1093/jscr/rjaa606
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