‘Mutiny on the crown’: two cases of rare cephalic malformations

The presentation and management of two bizarre congenital cephalic curiosities at the two extremes of the clinical spectrum are discussed herewith. Case 1: presented to us as a neonate with a scalp swelling mirror-imaging her head and face. The journey from clinics to wards and to the operation thea...

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Bibliographic Details
Published in:BMJ case reports 2017-12, Vol.2017, p.bcr-2017-222107
Main Authors: Khanna, Kashish, Bajpai, Minu, Gupta, Alisha, Goel, Prabudh
Format: Article
Language:English
Subjects:
Adult
Airway management
Brain cancer
Case reports
Congenital Abnormalities - diagnosis
Congenital Abnormalities - diagnostic imaging
Congenital Abnormalities - surgery
Diagnosis, Differential
Fatal Outcome
Female
Head - abnormalities
Histology
Humans
Infant, Newborn
Magnetic Resonance Imaging
Patient Care Team
Pediatrics
Pregnancy
Rare Disease
Scalp
Teratoma - diagnosis
Teratoma - diagnostic imaging
Teratoma - surgery
Tumors
Twins, Conjoined
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Summary:The presentation and management of two bizarre congenital cephalic curiosities at the two extremes of the clinical spectrum are discussed herewith. Case 1: presented to us as a neonate with a scalp swelling mirror-imaging her head and face. The journey from clinics to wards and to the operation theatre and to her home is introspected. Case 2: presented to us as dicephalous dibrachius dipus parapagus conjoined twins. The detailed work-up of individual organ systems, the multidisciplinary approach to management and the final outcome are discussed. This is an unsolved mystery for the anatomists, paediatric surgeons, radiologists and the medical fraternity at large.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2017-222107