The birth of conjoined twins occurs once in every 50,000 births. Attachment at the skull (craniopagus malformation) is very rare and seen in only 2% to 6% of all cases of conjoined twins, which makes the incidence of craniopagus twins 1 in 2.5 million births.
Conjoined twin, Rabeya and Rukaiya was born in Pabna in 2017 to a couple who are school teachers. After 48 hours long surgery by an expert team from Bangladesh and Hungary, the twins were separated in 2019 at Dhaka CMH. After separation Rabeya was diagnosed as a right side hemiplegic and Rukaiya with global delay. CRP’s multi-disciplinary team including physiotherapist, occupational Therapist and speech and language therapist, prosthetist and orthotist and supportive seat specialist started their service in October, 2019 when they became 3 years old.
Rabeya had mild neurological problem and therefore, she started receiving Physiotherapy and occupational therapy services and gradually, her condition improved a lot like normal gait pattern, using right hand for feeding and writing. Her mother is following the advices at home for her further progress.
On the other hand, Rukaiya had severe neurological difficulties. According to her condition, CRP provided Physiotherapy, Occupational therapy and Speech and Language therapy along with the required assistive devices. After six months of treatment Rukaiya had better improvement like sensory response, visual response, and joint stiffness reduced and finally oral feeding became possible for her. Still she needs intensive therapy, so she is continuing her rehabilitation services from CRP-Mirpur to improve her quality of life.