Neurológia pre prax 1/2011

Sandifer’s syndrome

Sandifer’s syndrome is a clinical entity characterised by abnormal movements associated with gastroesophageal reflux, with or without hiatal hernia. This syndrome occurrs especially in toddlers and infants but it has been rarely reported also among adult patients and newborns. In the clinical picture various abnormal movements of the body (opisthotonic posturing, head/eye version, torticollis and other dystonic postures) occur in periods several times per day, mainly after feeding. Sandifer’s syndrome is most commonly mistaken for epileptic seizures or some form of dystonia. The syndrome is taken for underrecognized.

Keywords: torticollis, nonepileptic seizures, pseudodystonia, gastroesophageal reflux.