{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T13:34:28Z","timestamp":1770989668618,"version":"3.50.1"},"reference-count":9,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Pierre-Robin syndrome (PRS) is a disorder characterized by mandibular hypoplasia, leading to upper airway obstruction and feeding difficulties due to backward displacement of the tongue (glossoptosis). Cervical diastematomyelia is another rare congenital condition in which the spinal cord splits into two hemicords at the level of the cervical spine.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n We report a unique case of a 6-month-old boy who has cervical diastematomyelia and PRS. At birth, our patient had mandibular hypoplasia, respiratory distress, a posterior parietal region swelling, and reduced tone in all four limbs. On current examination, he now also has left-sided torticollis along with the findings mentioned at birth. Imaging demonstrated features consistent with an atretic parietal cephalocele, enlarged cerebellum in comparison with age-matched group, and short segment type II diastematomyelia in the proximal cervical spinal cord.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n In patients with these complex congenital anomalies, improving outcomes requires early detection and tailored management strategies.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_877_2025","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T12:28:45Z","timestamp":1770985725000},"page":"75","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cervical diastematomyelia in a patient with Pierre-Robin syndrome \u2013 A case report"],"prefix":"10.25259","volume":"17","author":[{"given":"Mehar","family":"Masroor","sequence":"first","affiliation":[{"name":"Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alisha S.","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Talha M.","family":"Irshad","sequence":"additional","affiliation":[{"name":"Department of Medical College, Bahria University Health Sciences, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gohar","family":"Javed","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Shifa International Hospital, Islamabad, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,2,13]]},"reference":[{"key":"10.25259\/SNI_877_2025\/ref-1","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1597\/07-129.1","article-title":"A new grading of Pierre Robin 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Neurosurg"},{"key":"10.25259\/SNI_877_2025\/ref-5","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1597\/05-032.1","article-title":"Pierre Robin sequence with esophageal atresia and congenital radioulnar synostosis","volume":"43","author":"Ozkan","year":"2006","journal-title":"Cleft Palate Craniofac J"},{"key":"10.25259\/SNI_877_2025\/ref-6","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1227\/00006123-199209000-00010","article-title":"Split cord malformation: Part I: A unified theory of embryogenesis for double spinal cord malformations","volume":"31","author":"Pang","year":"1992","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_877_2025\/ref-7","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1016\/j.ijom.2013.07.747","article-title":"Outcomes after tongue-lip adhesion or mandibular distraction osteogenesis in infants with Pierre Robin sequence and severe airway obstruction","volume":"42","author":"Papoff","year":"2013","journal-title":"Int J Oral Maxillofac Surg"},{"key":"10.25259\/SNI_877_2025\/ref-8","doi-asserted-by":"crossref","first-page":"994","DOI":"10.4103\/0028-3886.299132","article-title":"Cervical split cord malformations: A systematic review","volume":"68","author":"Sreenivasan","year":"2020","journal-title":"Neurol India"},{"key":"10.25259\/SNI_877_2025\/ref-9","doi-asserted-by":"crossref","first-page":"e74","DOI":"10.1055\/a-2319-3444","article-title":"Cervical diastematomyelia: A case presentation and systematic review","volume":"85","author":"Zhang","year":"2024","journal-title":"J Neurol Surg Rep"}],"container-title":["Surgical Neurology 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