Radiation induced carotid stenosis (RICS) is known but challenging complication of head and neck irradiation. Endovascular revascularization is preferred treatment modality than surgical revascularization. Sometimes endovascular treatment may be difficult in view of long segment of stenosis and associated pseudoaneurysm. We report a unique technique of carotid stenting named as "conjoined stent...

INTRODUCTION Cases of conjoined twins occur so rarely that it is important to learn as much as possible from each case. CASE PRESENTATION We present a case of 9-hour-old, female, Nigerian dicephalus parapagus conjoined twins discordant for anencephaly diagnosed only after the birth of the twins. The anencephalic twin was stillborn while the normal one died within 9 hours of birth from cardiop...

Two pairs of omphalopagus twins were encountered at the Polish Mother's Health Institution in Lodz, Poland during the past 15 years. In the first set the prenatal diagnosis was not established and the delivery of the twins in a regional hospital was a complete surprise. Both babies died. In the second case the conjoined twins were diagnosed prenatally, surgical separation was successful, and bo...

A case of vaginally delivered stillborn female thoracopagus conjoined twins is presented. Each twlin had a cleft lip and cleft palate. They shared a common pericardial sac and a common abdominal cavity. The liver was conjoined, and the small bowel was common to both twins. One twin was asplenic. Although the twins were monozygotic, their viscera were neither identical nor mirror-image to each o...

Conjoined twins are a very rare entity. It is associated with poor survival rate in the presence of vital organ sharing. The entity can be diagnosed as early as the first trimester. A conjoined twin diagnosed late in labor is a malady with high perinatal mortality and maternal morbidity. We present one such case of xiphopagus twins. The management of a case diagnosed late in labor can be very c...

Conjoined twins is a phenomenon believed to be caused by either delayed splitting of the fertilized ovum or fusion of the embryonic stem cells. Disorganization of mutant genes is believed to be a cause in some cases. We report a case of stillborn dicephalus tribrachius female conjoined twins with features that are not reported previously in the literature with a single umbilical artery and two ...

We consider 2n× 2n symplectic difference systems together with associated discrete quadratic functionals and eigenvalue problems. We establish Sturmian type comparison theorems for the numbers of focal points of conjoined bases of a pair of symplectic systems. Then, using this comparison result, we show that the numbers of focal points of two conjoined bases of one symplectic system differ by a...

Although thoracopagus twins joined at the upper chest are the most common type of conjoined twins, the separation surgery in these cases has a higher mortality rate. Here, we describe an anesthetic management approach for the separation of thoracopagus conjoined twins sharing parts of a congenitally defective heart and liver. We emphasize the importance of vigilant intraoperative hemodynamic mo...

Attentional modulation of cortical activity was examined by varying the rate of visual stimuli in object categorization tasks according to single and conjoined features. Activation of dorsolateral frontal cortex was independent of the stimulus presentation rate and elicited by the participant's attention to conjoined compared with single features. Several cortical regions showed attentionally m...