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At any time in this process, either twin can die in utero, with further severe blood flow effects on the other fetus. The combined effects of TTTS and prematurity may result in death or severe injury after birth.
With all of these dangers it is not surprising that many fetuses with TTTS show structural brain damage - as many as one third of TTTS survivors have cerebral palsy in untreated cases. Without treatment, TTTS is very dangerous to both twins and to their mother.
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