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Friday, 17 October, 2003, 21:32 GMT 22:32 UK

Separated twins wake from coma

Father Ibrahim Mohammed Ibrahim plays with his twin sons Egyptian conjoined twins who were separated during major surgery have regained consciousness and have movement in their limbs, say doctors.

Dr James Thomas, director of critical care at the Children's Medical Center in Dallas where two-year-old Ahmed and Mohamed Ibrahim were separated on Sunday said both boys were showing signs of recovery.

"Both now open their eyes when spoken to, and they appear to be searching out the voice calling their name," he said.

Mohamed, known as "the rascal" for his mischievous behaviour, has recovered from the 34-hour operation more quickly than his brother.

Waking moments

The boys had showed signs of fever and were restarted on a course of antibiotics. Infection can be life-threatening in the post-operative period.

MEDICAL HISTORY

  • Born by Caesarean section in Qus, Egypt, 2 June 2001
  • Arrive in Dallas in 2002
  • World Craniofacial Foundation funds their trip
  • Tissue expanders inserted under skin in April 2003 to prepare for reconstruction
  • 34-hour operation carried out 11-12 October
  • Well-wishers flood hospital with messages

    A team of five neurosurgeons separated their shared brain material and the shared circulatory systems that feed blood to their brains.

    Mohamed is due to undergo surgery on Saturday as doctors examine a skin graft on his temple that was put in place to help repair the wounds from surgery.

    Doctors say they will take the boys off mechanical ventilators that are aiding their breathing in the next few days.

    The boys are currently lying in separate rooms on beds designed to rotate their bodies so that they do not develop bed sores.

    In their waking moments, they try to focus on objects in their rooms.

    The boys were born in a town 500 miles (800km) south of Cairo in 2001.

    Twins conjoined at the head account for about one of every 2.5 million births and about 2% of all conjoined births.



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    Related to this story:
    One twin comes off coma drugs (16 Oct 03  |  Middle East )
    Ethics of separating twins (13 Oct 03  |  Health )
    In pictures: Run-up to op (11 Oct 03  |  Photo Gallery )
    Iranian twins die in surgery (08 Jul 03  |  Asia-Pacific )
    Separated twins 'open their eyes' (09 Aug 02  |  Americas )
    Conjoined twins (06 Jul 03  |  Medical notes )

    RELATED INTERNET LINKS:
    Conjoined twin information
    World Craniofacial Foundation
    Children's Medical Center
    The BBC is not responsible for the content of external internet sites



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