Operative midwifery : a guide to the difficulties and complications of midwifery practice . ee or four upper limbs, two necks, a body showing some signs ofluplicity, and (usually) only two legs, which belong one to each head.^. classic case of this type of double monster is the Ssottish brothersvho lived during the reigns of James III. and James IV., andattained to the age of twenty-eight years ; another instance is that>f Ritta-Christina, born in Sardinia in 1829, and living for a fewnonths; and yet another is that of the Tocci brothers, born intaly in 1877. It is, however, somewhat uncomm
Operative midwifery : a guide to the difficulties and complications of midwifery practice . ee or four upper limbs, two necks, a body showing some signs ofluplicity, and (usually) only two legs, which belong one to each head.^. classic case of this type of double monster is the Ssottish brothersvho lived during the reigns of James III. and James IV., andattained to the age of twenty-eight years ; another instance is that>f Ritta-Christina, born in Sardinia in 1829, and living for a fewnonths; and yet another is that of the Tocci brothers, born intaly in 1877. It is, however, somewhat uncommon for fusei twins>f this type to survive birth, although, as a matter of fact, the-bstetrical conditions are not worse, but better, than those of the 128 OPERATIVE MIDWIFERY chioid type. In Dr. Pallaros case of dicephalue which I reportedsome time ago1 the cause of the futal death seems to have been thecomplication of the labour with a placenta pnevia. The obstetrical history of the hypsiloid twins closely resembles inits main outlines that of the chioid type. If the presentation be. *„;. 70.—Hypsiloid or Dicejhalous Monster. (Ihmteriaii Museum, Glasgow University.) breech or footling, the single body is born with perhaps some delay;then the first head enters the pelvis, and, if it be the posterior one ofthe two, is expelled by pulling the body well forward; then the secondor anterior head follows without further difficulty. It may, however,be necessary to decapitate. A fairly typical case is thus described by1 • Teratologia, 1895, ii. 210. LAMBDOID OB SYNCEPHALOUS MONSTERS 129 Horrocks:x The presentation was breech, and nothing abnormalwas found until the child was born as far as the shoulders. Twonecks and two chins were now made out. The left head was anteriorand lower than the right, both faces looking towards the mothersright. The pains were strong, and presently the right head descendedbelow the sacral promontory, got lower than the left head, swept overthe peri
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