Rufai, SR;
Gore, S;
Handley, SE;
Marmoy, OR;
Ong, J;
Dunaway, DJ;
Jeelani, NUO;
(2021)
Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins.
Journal of Surgical Case Reports
, 2021
(2)
, Article rjaa606. 10.1093/jscr/rjaa606.
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Abstract
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.
| Type: | Article |
|---|---|
| Title: | Enhanced neuro-ophthalmologic evaluation to support separation of craniopagus twins |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1093/jscr/rjaa606 |
| Publisher version: | https://doi.org/10.1093/jscr/rjaa606 |
| Language: | English |
| Additional information: | Published by Oxford University Press and JSCR Publishing Ltd. Copyright © The Author(s) 2021. 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. |
| Keywords: | diagnostic radiologic examination, ophthalmoscopy, patient care team, surgical procedures, operativetwins, twins, conjoined, radiology specialty, slit lamp biomicroscopy, neuro-ophthalmology, virtual reality, optical coherence tomography, interdisciplinary treatment approach, preferential looking test, printing, three-dimensional, mobile devices |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10121792 |
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