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6 - Twinning

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TWINNING OR EMBRYONIC DUPLICATION

 Causes of multiple births

• Fertilization of separately ovulated egg


• Complete or partial separation of
blastomeres during cleavage or
blastocyst stage
• Duplication during gastrulation
CLASSIFICATION

1. Free or unattached or
separate to each other
2. Cojoined to each other
3. Symmetrical or
asymmetrical
UNIFIED CLASSIFICATION

Free, symmetrical twins


which are dizygotic twins
(most common) developing
independently with their own
EEM.
• Dizygotic (fraternal)
twins
• Arise from two
oocytes, derived
from two separate
ovarian follicles,
each fertilized by
separate
spermatozoa during
a single breeding
cycle
 Free,symmetrical twins which are monozygotic derived
from a single zygote which separates or duplicate at
different stages of development
 During late cleavage to blastocyst , bisection may
lead to the development of two identical embryos
with their own EEM
 When z. pellucida ruptures causing escape of some
blastomeres may develop into two embryos
provided that part of the embryonic disc is bisected
also
 Aninstance when the blastodisc splits
immediately prior to gastrulation, the embryos
formed and usually shares EEM
• Monozygotic
(identical) twins
• Arise from a single
oocyte fertilized by
a single
spermatozoon
 Free,asymmetrical twins – may originate from a
monozygotic or dizygotic embyros, one member
is normal and the other is rudimentary surviving by
sharing the blood supply of the normal one
 Abnormal twin has its own amnion but has no
recognizable body form consisting of skin,
muscle teeth,etc; sometimes ,the craniofascial
structures can be identified also
 Abnormal twin is termed amorphous globosus,
anidian,acardiac or holocardiac fetus
 Acardiac twin is common in cow
 Abnormal twin is different from mummified or
lithopedion ( still birth)
 Cojoined or fused symmetrical twins – are
monozygotic in origin and generally
termed diplopagus but popularly known
as siamese twin
▪ Incomplete division of the embryo
occur
▪ sometime during the primitive streak
stage and are identified according to
the site of attachment such as:
• Thoracopagus- fused at the thorax
facing each other
• Abdomonopagus- joined at the
abdomen with often partially fused
intestines
▪ Pygopagus- fused back to back at the
pelvic or sacral region
▪ Cephalopagus – joined at the head
region. Duplication at this region uses
prefixes (di, tri, tetra) to describe the
anomalies such as:
• Dicephalus – two heads
• Diprosopus –two faces
• Dicaudatus – two tails
• Tetrabrachius- 2 pairs of thoracic limbs
• Tetrascelus – 2 pairs of pelvic limbs
• Cojoined, asymmetrical twins – are
unequal in size, consisting of one normal
individual, the autosite and an extra
body part only, the parasite such as
extra limbs attach at the back or at the
schial region projecting caudally

Asymmetrical twinning usually


happens when the specific organ
forming regions are already
established ( limb, heart,eye etc.
fields)

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