Successful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literature

Background Data: Lumbosacral Rachipagus Parasiticus is an extremely rare condition. Separation of a parasitic twin that is attached at the lumbosacral spine in the neonates is even less frequent. In this case the spinal cord was herniated through a spina bifida into the parasite. Purpose: The aim of...

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Autores principales:	Samer Samy, Hatem Amin
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2016
Materias:	Rachipagus Parasite Conjoined twinning Spinal dysraphism Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/cc30a12ca39d401bb57ef9440ff7234d
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spelling	oai:doaj.org-article:cc30a12ca39d401bb57ef9440ff7234d2021-12-02T07:50:52ZSuccessful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literatureDOI:10.21608/ESJ.2016.40962314-89502314-8969https://doaj.org/article/cc30a12ca39d401bb57ef9440ff7234d2016-10-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_4096.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: Lumbosacral Rachipagus Parasiticus is an extremely rare condition. Separation of a parasitic twin that is attached at the lumbosacral spine in the neonates is even less frequent. In this case the spinal cord was herniated through a spina bifida into the parasite. Purpose: The aim of this report is to present a case of Rachipagus Parasiticus in which surgical separation was successfully performed. Study Design: Case Report and review of the literature. Patients and Methods: The child was 28 days old. Computed tomography, magnetic resonance imaging of the whole spine focusing on the lumbosacral spine provided the information necessary to perform surgery. The duration of surgery was 150 minutes. The parasitic twin hadn’t neural attachment with the myelomeningocele. The child received 120 CC of blood. After separation of the parasitic leg, the dura was repaired using autogenous graft. Skin and subcutaneous tissue were closed directly after application of a wound drain for 24 hours. Results: The parasitic twin was successfully separated, and the patient was discharged from the hospital after 4 days, moving her lower limbs proximally with some weakness in both feet. Conclusion: Rachipagus parasitic twin is a rare form of conjoined twin with a favorable outcome.Detailed perioperative evaluation and management planning, as well as multidisciplinary microvascular approach, are integral to perform the best separation surgery. (2016ESJ096) Samer Samy Hatem AminEgyptian Spine AssociationarticleRachipagusParasiteConjoined twinningSpinal dysraphismNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 20, Iss 1, Pp 51-60 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Rachipagus Parasite Conjoined twinning Spinal dysraphism Neurology. Diseases of the nervous system RC346-429
spellingShingle	Rachipagus Parasite Conjoined twinning Spinal dysraphism Neurology. Diseases of the nervous system RC346-429 Samer Samy Hatem Amin Successful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literature
description	Background Data: Lumbosacral Rachipagus Parasiticus is an extremely rare condition. Separation of a parasitic twin that is attached at the lumbosacral spine in the neonates is even less frequent. In this case the spinal cord was herniated through a spina bifida into the parasite. Purpose: The aim of this report is to present a case of Rachipagus Parasiticus in which surgical separation was successfully performed. Study Design: Case Report and review of the literature. Patients and Methods: The child was 28 days old. Computed tomography, magnetic resonance imaging of the whole spine focusing on the lumbosacral spine provided the information necessary to perform surgery. The duration of surgery was 150 minutes. The parasitic twin hadn’t neural attachment with the myelomeningocele. The child received 120 CC of blood. After separation of the parasitic leg, the dura was repaired using autogenous graft. Skin and subcutaneous tissue were closed directly after application of a wound drain for 24 hours. Results: The parasitic twin was successfully separated, and the patient was discharged from the hospital after 4 days, moving her lower limbs proximally with some weakness in both feet. Conclusion: Rachipagus parasitic twin is a rare form of conjoined twin with a favorable outcome.Detailed perioperative evaluation and management planning, as well as multidisciplinary microvascular approach, are integral to perform the best separation surgery. (2016ESJ096)
format	article
author	Samer Samy Hatem Amin
author_facet	Samer Samy Hatem Amin
author_sort	Samer Samy
title	Successful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literature
title_short	Successful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literature
title_full	Successful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literature
title_fullStr	Successful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literature
title_full_unstemmed	Successful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literature
title_sort	successful separation of rachipagus parasiticus neonate: case report and review of the literature
publisher	Egyptian Spine Association
publishDate	2016
url	https://doaj.org/article/cc30a12ca39d401bb57ef9440ff7234d
work_keys_str_mv	AT samersamy successfulseparationofrachipagusparasiticusneonatecasereportandreviewoftheliterature AT hatemamin successfulseparationofrachipagusparasiticusneonatecasereportandreviewoftheliterature
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Successful Separation of Rachipagus Parasiticus Neonate: Case Report and Review of the literature

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