Conjoined Twins

Todayโ€™s path rounds are on conjoined twins! I know how much you guys love weird developmental abnormalitiesย ๐Ÿ˜‰

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐‚๐จ๐ง๐ฃ๐จ๐ข๐ง๐ž๐ ๐ญ๐ฐ๐ข๐ง๐ฌ are exactly as described: twins that are fused together at some point on their body. They have been reported throughout history, with cases even documented in medieval paintings!

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Any species can get this!

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
The exact cause of conjoined twins is unknown, but there are two main theories: ๐Ÿ๐ฎ๐ฌ๐ข๐จ๐ง and ๐Ÿ๐ข๐ฌ๐ฌ๐ข๐จ๐ง. The โ€œfusionโ€ theory seems to be the most convincing at this time, suggesting that two embryos become attached to each other and fuse, producing the conjoined twin. The alternative theory of fission suggests that one embryo may partially divide into two, however this theory does not seem to hold up to rigorous scientific examination.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Depending on where the twins are fused, various issues can arise. Usually the main issue in animals is locomotion, since many of these animals may have too many limbs or unusually positioned body parts to move around appropriately. Sometimes, the attachment that occurs between the twins may cause secondary issues, as it is not properly formed. For example, in ๐๐ข๐œ๐ž๐ฉ๐ก๐š๐ฅ๐ข๐œ ๐ฉ๐š๐ซ๐š๐ฉ๐š๐ ๐ฎ๐ฌ conjoined twins, which have two heads on one body, one of the heads may have a poor attachment to the shared digestive and respiratory system. This may lead to ๐š๐ฌ๐ฉ๐ข๐ซ๐š๐ญ๐ข๐จ๐ง ๐ฉ๐ง๐ž๐ฎ๐ฆ๐จ๐ง๐ข๐š, if food enters the airways.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
These are pretty easy to diagnose, just by looking at the animal!

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
Unfortunately in our animal species, treatment options are generally not feasible. In humans, there are now many surgical options available to separate the twins, depending on where they are attached!

๐๐ก๐จ๐ญ๐จ๐ฌ
1-2) Examples of dicephalic parapagus twins with two heads!
3) The brains of a dicephalic twin showing their common connection to the spinal cord.
4-7) Other examples of conjoined twins!

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Spencer R. Theoretical and Analytical Embryology of Conjoined Twins: Part I: Embryogenesis. Clinical Anatomy 13:36-53 (2000).

Photos 1-4 ยฉ Noahโ€™s Arkive contributors King, Luginbuhl, Larsen, Beasley licensed under CC BY-SA 4.0.
Photos 5-6 ยฉ Wikimedia Commons contributor Bj.schoenmakers, Jordi ramis licensed under CC Share Alike 4.0 International.
Photo 7 ยฉ Wikimedia Commons contributor Sailko licensed under CC 3.0 Unported.

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