Parasitic twin—a supernumerary limb associated with spinal malformations. A case report

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• 作者：Abat Sahlu ; Brook Mesfin ; Abenezer Tirsit ; Tequam Debebe…
• 关键词：Foetus in foetu ; Parasitic twin ; Rachipagus ; Syringohydromyelia ; Teratoma
• 刊名：Acta Neurochirurgica
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：158
• 期：3
• 页码：611-614
• 全文大小：449 KB
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• 作者单位：Abat Sahlu (1)
  Brook Mesfin (1)
  Abenezer Tirsit (1)
  Tequam Debebe (2)
  Knut Wester (3) (4)
  
  1. Neurosurgery Unit, Department of Surgery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia
  2. Department of Radiology, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia
  3. Department of Clinical Medicine, K1, University of Bergen, Bergen, Norway
  4. Department of Neurosurgery, Haukeland University Hospital, 5021, Bergen, Norway
  
• 刊物主题：Neurosurgery; Interventional Radiology; Neuroradiology; Neurology; Surgical Orthopedics; Minimally Invasive Surgery;
• 出版者：Springer Vienna
• ISSN：0942-0940

文摘

We describe a case of rachipagus parasitic twin with spinal cord malformations (lipomyelomeningocele and tethered cord) in a 7-month-old Ethiopian infant. The parasitic mass had a well-formed foot, ankle and lower leg and a small sinus that resembled an anus. Magnetic resonance imaging scans revealed spinal malformations including a distal syringohydromyelia. The mass was successfully resected and the dural attachment was closed. Histopathological examination confirmed the diagnosis. Postoperatively, the child had unchanged, intact neurological function in both lower limbs. Almost all rachipagus parasitic twins are associated with spinal malformations. They should, therefore, be operated on by surgeons experienced in myelomeningocele surgery. Keywords Foetus in foetu Parasitic twin Rachipagus Syringohydromyelia Teratoma