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NerdSaturday, February 19th 2005.

MalevolentMaster

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Egyptian doctors remove baby's second head +Graphic pic
BENHA, Egypt - Egyptian doctors said they removed a second head from a 10-month-old girl suffering from one of the rarest birth defects in an operation on Saturday.

http://www.msnbc.msn.com/id/6998205/?GT1=6190

Abla el-Alfy, a consultant in pediatric intensive care, told Reuters at the hospital in Benha, near Cairo, that Manar Maged was in a serious but improving condition after the procedure to treat her for craniopagus parasiticus -- a problem related to that of conjoined twins linked at the skull.

"We are still working on the baby. After surgery ... you get unstable blood pressure, you get fever. But she is stabilizing," Alfy said. "We have some improvement."

As in the case of a girl who died after similar surgery in the Dominican Republic a year ago, the second twin had developed no body. The head that was removed from Manar had been capable of smiling and blinking but not independent life, doctors said.

Video footage provided by the hospital, a national center in Egypt for children's medicine, showed Manar smiling and at ease in a cot with the dark-haired "parasitic" twin, attached at the upper left side of the girl's skull, occasionally blinking.

After the 13-hour operation, Reuters journalists saw the baby, her head swathed in bandages and body wreathed by tubes, in an intensive care ward. A separate twin sister, Noora, is healthy after initial problems with the birth on March 30.

Alfy said the 13-strong surgical team separated Manar's brain from the conjoined organ in small stages, cutting off the blood supply to the extra head while preventing increased blood flow to Manar's heart, which would have risked cardiac arrest.

Benha, 40 km (25 miles) north of Cairo, was chosen for its equipment and proximity to the girl's family.

"The family of the child are from near here, we have the equipment, we assembled a team, so why not have the operation here?" she said, explaining the choice not to work in Cairo or at centers abroad with more experience with conjoined twins.

Months of preparation
Alfy said Manar's skull had been reconstructed during surgery and her skin had been joined over the bone, leaving no need for further surgery.

The doctors decided not to carry out Manar's operation soon after her birth: "We studied the babies well," Alfy said. "We had to study how the blood supply of the parasite is working."

She plans to keep Manar in intensive care for up to 10 days and remains cautious: "Things are getting better but ... at any time things can go wrong."

The condition occurs when an embryo begins to split into identical twins but fails to complete the process and one of the the conjoined twins fails to develop fully in the womb.

The second twin can form as an extra limb, a complete second body lacking vital organs, or, in very rare cases, a head.

Copyright 2005 Reuters Limited. All rights reserved. Republication or redistribution of Reuters content is expressly prohibited without the prior written consent of Reuters.

--------------------------

Now, I tell ya; it takes a LOT for me to go "ugh" at a picture, and this is a lot:
http://msnbcmedia.msn.com/j/msnbc/Components/Photos/050219/050219_twin2_hmed_8a.hmedium.jpg
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NerdSaturday, February 19th 2005.

Batist

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that would be freaky to see it real life.

but it's nothing graphic.
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NerdSaturday, February 19th 2005.

Xavius

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AHhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh!

Frown
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NerdSaturday, February 19th 2005.

Caster13

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Does that count as abortion?
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NerdSaturday, February 19th 2005.

mohd223

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whoa. Freak
I don't think that counts as abortion, but was the second head actually alive? thats damn freaky.
NerdSaturday, February 19th 2005.

Paul Weller

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o_O
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NerdSaturday, February 19th 2005.

smanjh

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I want 2 heads. They are better than one Big Grin
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NerdSaturday, February 19th 2005.

crawlingmonk

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THE 2ND HEAD CAN BLINK!?
......*walks out of the room*......
NerdSaturday, February 19th 2005.

Dawson

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It'll be dead within a month.
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NerdSaturday, February 19th 2005.

StJimmy

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he head that was removed from Manar had been capable of smiling and blinking but not independent life, doctors said.


WOW. Amazing news sotry.
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NerdSaturday, February 19th 2005.

Jake

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That thing could blink and smile? I wonder if the girl could see out the other head and if the girl smiled, the other head smiled. But the other head couldn't really think about it though...weird.
NerdSaturday, February 19th 2005.

Mysti

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That's the freakiest case ever. I've heard of conjoined twins separated and not, and all manner of other birth defects, but whoa... a second head? *shudders* poor kid. Frown
NerdSaturday, February 19th 2005.

Caster13

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mohd223

whoa. Freak
I don't think that counts as abortion, but was the second head actually alive? thats damn freaky.



Okay, maybe not abortion. Probably the wrong choice of word, what about euthanasia?

The second head, I would think, was in a rather comatose state and they just up and chop it off likely killing it in the process. Quite a few one headed people in the same state I think who wouldn't mind that would happen to them.
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NerdSaturday, February 19th 2005.

nenned

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She should be in the next Silent Hill.
NerdSaturday, February 19th 2005.

Xavius

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lol Frown Thumbs up Disgust I'm ashamed to laugh at that.
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NerdSaturday, February 19th 2005.

Ninjazn

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Wow. No comment.
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NerdSaturday, February 19th 2005.

Kuriboo

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EEK!

That was just freaky, and scray. The other head could blink...think about it...I'd pass out.

The doctor called the other head a parasite. This is Crazy
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NerdSunday, February 20th 2005.

bleeper

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Man she would be great at halloween parties, man i felt sick
NerdSunday, February 20th 2005.

Shard

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It's obvious MSNBC photoshoped that head onto that head to make it look like a second head.
NerdSunday, February 20th 2005.

Dragon164z

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NerdSunday, February 20th 2005.

Olmer69

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Dragon164z




you get a cookie! lol

NerdSunday, February 20th 2005.

CuBi

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That's... scary. What if they didn't do the opperation? The kid had managed to get 10 months old... Could the other head think? That's...

And the most amazing thing is that the operation was successful.
NerdTuesday, February 22nd 2005.

Xavius

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Baby Improving After Extra Head Removed

54 minutes ago



Ten-month-old Manar Maged was suffering from one of the rarest birth defects -- craniopagus parasiticus -- a problem related to that of conjoined twins linked at the skull.

The head that was removed from Manar in the operation which ended early Saturday had developed no body, and was capable of smiling and blinking, but not independent life.

Doctors have already said that Manar could move all her limbs and showed no signs of paralysis after the operation in a children's hospital in Benha, near Cairo.

"At the moment only about 15 percent of her breathing is through the ventilator and in about 48 hours we will switch the ventilator off," Abla el-Alfy, a consultant in pediatric intensive care, told Reuters.

Alfy, part of the team of 13 Egyptian doctors who carried out the operation, said it was too early to say whether Manar could have suffered brain damage.

"In four days or less we will do a ... scan of her brain to see what the situation is," Alfy said.

Craniopagus parasiticus occurs when an embryo begins to split into identical twins but fails to complete the process. One of the conjoined twins fails to develop fully in the womb.

Professor Lewis Spitz, a leading expert on conjoined twins at Great Ormond Street Hospital in London said the vital question for Manar was whether brain tissue and blood vessels were shared between the two heads.

He said it was critical that the blood flow away from the surviving twin was not interfered with during separation.

Spitz did not know how many cases of craniopagus parasiticus have occurred or the number of attempted separations. He said the fact Manar survived is a big achievement in itself.

"It must be quite rare. In about 2 percent of conjoined twins the heads are fused," he said, adding that an incomplete conjoined twin joined at the head is even rarer.

He said the incidence of live born conjoined twins is about one in 200,000.

http://story.news.yahoo.com/news?tmpl=story&ncid=751&e=1&u=/nm/20050222/hl_nm/health_egypt_baby_dc
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I was young and confused and your mom didn't want me around no more. Now pass me dem damn collard greens!
NerdThursday, February 24th 2005.

MalevolentMaster

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Location: land of a thousand seasons

Plus one.

http://www.ananova.com/news/story/sm_1257923.html
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NerdThursday, February 24th 2005.

CuBi

Rebel Scum

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"Mr Dianrong says both heads bleat together when the lamb sees people approaching."

...even freakier...
NerdThursday, February 24th 2005.

Chrono

Somebody To Love

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Location: Got no feelin, Got no Rhythm,

holy **** that is messed up.

I wonder if the head could think freely, or maybe even able to talk after a bit (assuming that neck stub contained vocal cords or something). Or was it her nervous system was conected to the head, and she could control it. If that was the matter, I'd keep itThumbs up
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