Female monozygotic twins with sacral myelomeningocele

Background: Concurrent myelomeningocele in twins is a rare clinical presentation, only reported twice Nigeria. Case Description: We present set of identical female from Both were females that presented at 3 years with low back swelling since birth, associated bisphincteric dysfunction but normal motor and sensory functions the lower extremities. They had repair 2 months after presentation there was no new deficit postoperatively. There family history neural tube defects it would have been good to do genetic studies this case we not facilities for such. Conclusion: This first concurrent preserved limbs Nigeria West Africa.