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Craniopagus twins are conjoined twins who are fused at the cranium. [1] The union may occur on any portion of the cranium, but does not primarily involve either the face or the foramen magnum; the two brains are usually separate, but they may share some brain tissue.
If the suture is not present at birth because both frontal bones have fused (craniosynostosis), it will cause a keel-shaped deformity of the skull called trigonocephaly. Its presence in a fetal skull, along with other cranial sutures and fontanelles , provides a malleability to the skull that can facilitate movement of the head through the ...
Later in the child's life, these bones will fuse together in a natural process. A protein called noggin is responsible for the delay in an infant's skull fusion. [7] During labour and birth, the infant's skull changes shape to fit through the birth canal, sometimes causing the child to be born with a misshapen or elongated head. It will usually ...
An infant's skull consists of five main bones: two frontal bones, two parietal bones, and one occipital bone. These are joined by fibrous sutures, which allow movement that facilitates childbirth and brain growth. Posterior fontanelle is triangle-shaped. It lies at the junction between the sagittal suture and lambdoid suture.
The facial bones usually form into pairs and then fuse together. As the cranium fuses, sutures are formed that resemble stitching between bone plates. In a newborn, the junction of the parietal bones with the frontal and occipital bones, form the anterior (front) and posterior (back) fontanelle, or soft spots.
Conjoined twins, popularly referred to as Siamese twins, [1] [2] are twins joined in utero. [a] It is a very rare phenomenon, estimated to occur in anywhere between one in 50,000 births to one in 200,000 births, with a somewhat higher incidence in southwest Asia and Africa. [5]
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Assessment of the skull from a top view shows asymmetry of the frontal bones, an increased width of the skull and a forward displacement of the ear at the ipsilateral side of the head. [12] Assessment of the skull from a frontal view will show asymmetrical features of the face, including a displacement of the chin point of the jaw and a ...