Manar Maged

Twins With Craniopagus Parasiticus

craniopagus parasiticus example like Manar Maged
An illustration of craniopagus parasiticus, like Manar Maged. Arthur William Devis (1762-1822) -

Worldwide attention focused on "the girl with two heads," a young Egyptian baby named Manar Maged. After an episode of The Oprah Show aired sharing her story with the world, curiosity exploded about the child with one of the rarest birth deformities ever witnessed. Rather than a two-headed baby, Manar Maged is actually an example of craniopagus parasitic, conjoined twins where one twin does not fully form.


Twins Names:

Manar Maged (later, the malformed twin was given the name Islaam)


March 30, 2004.



Type of Twin:

craniopagus parasiticus


A thirteen-hour surgery was performed on February 19, 2005, in Cairo, Egypt to detach the heads. The girl was released from intensive care in March 2005. However, on March 25, 2006, she passed away from a brain infection shortly before her second birthday. She would have turned two years old on March 30, 2006. 

Surgical Center:

Benha Children's Hospital, north of Cairo, Egypt.

More Information About Manar Manged:

Craniopagus parasiticus results when one part of a set of conjoined twins fails to develop. As a result, when twins Manar and Islaam Maged were born, they appeared as a single individual with two heads. Attached to Manar's skull was a second skull with a face. The head, later named Islaam, had no torso or limbs. Islaam could blink and smile, but she was not capable of independent life.

According to a doctor that appeared with Manar Maged on The Oprah Show, the twins had two different brains but circulation from Manar's vital organs sustained Islaam through a common blood vessel. Because of the demand on her organs, Manar suffered from heart trouble that endangered her life. The weight of the appendage would prevent Manar from crawling or sitting upright.

Because of the danger to her life, surgeons decided to detach it when she was ten-months-old.

In order to remove the head, which shared a blood vessel with Manar's brain, the surgeons cut off the blood supply to Manar's head. Fortunately, the risky procedure did not cause a fatal surge of blood to her heart, as was the case with the 2004 surgery on Rebeca Martinez in the Dominican Republic. Manar's prognosis was actually quite good following surgery; she showed no signs of paralysis and could move all of her limbs. 

After the initial surgery, Manar developed hydrocephaly, an accumulation of fluid in her brain. A second operation was performed to drain the fluid. She was released from intensive care in March 2005 and eventually returned to her home. But in 2006, she was readmitted to the hospital in Cairo, suffering from pneumonia, heart trouble, and a brain infection that did not respond to medication. She passed away shortly afterwards, just shy of her second birthday. 

Manar appeared with her mother on the Oprah Show and was featured on television shows such as Channel 4's Bodyshock: Born With Two Heads.


Aquinoa, D., Timmonsa, C., Burnsa, D. and Lowichika, A. "Craniopagus Parasiticus: A Case Illustrating its Relationship to Craniopagus Conjoined Twinning." Pediatric Pathology & Laboratory Medicine, 1997. Pg. 939.

Bondeson, J., et al. "Craniopagus parasiticus: Everard Home's Two-Headed Boy of Bengal and some other cases." Surgical Neurology, June 1989, Pg. 426.

"Two-head girl dies of infection." BBC News, March 26, 2009. Accessed February 19, 2016.

"It's a Miracle!" The Oprah Show, air date May 19, 2005. Accessed February 19, 2016.