Preoperative evaluation of craniopagus twins: Anatomy, imaging techniques, and surgical management

A. E. Goldman-Yassen, J. T. Goodrich, T. S. Miller, J. M. Farinhas

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


Craniopagus twins are a rare congenital malformation in which twins are conjoined at the head. Although there is high prenatal and postnatal mortality for craniopagus twins, successful separation has become more common due to advances in neuroimaging, neuroanesthesia, and neurosurgical techniques. Joined brain tissue, shared arteries and veins, and defects in the skull and dura make surgery technically challenging, and neuroimaging plays an important role in preoperative planning. Drawing on our experience from consultation for multiple successful separations of craniopagus twins, we discuss what radiologists need to know about the anatomy, classification, imaging techniques, and surgical management of craniopagus twins.

Original languageEnglish (US)
Pages (from-to)951-959
Number of pages9
JournalAmerican Journal of Neuroradiology
Issue number6
StatePublished - Jun 1 2020

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Clinical Neurology


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