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Sandifer's syndrome in a child with asthma and cerebral palsy
1Department of Pediatrics, University of Texas, Houston 77030, USA.
Insights
Gastroesophageal reflux disease (GERD) can cause Sandifer syndrome, a condition often overlooked in children with neurological impairments and asthma. Early diagnosis of GERD is crucial for treating these complex symptoms.
Area of Science:
- Pediatric Medicine
- Neurology
- Gastroenterology
Background:
- Gastroesophageal reflux (GER) is common in children but can be an underrecognized cause of respiratory and neurobehavioral issues.
- Neurologically impaired children may present with atypical symptoms of GER, complicating diagnosis.
Observation:
- A 5-year-old child with cerebral palsy, developmental delay, and asthma experienced symptoms attributed to these conditions.
- Diagnostic evaluation revealed significant gastroesophageal reflux disease (GERD) as the underlying cause.
Findings:
- The child was diagnosed with Sandifer syndrome, a condition linked to GERD characterized by abnormal posture and movement.
- The neurological and respiratory symptoms were found to be manifestations of untreated GERD.
Implications:
- Increased awareness of GERD and Sandifer syndrome is vital for accurate diagnosis in neurologically impaired children.
- Prompt identification and treatment of GERD can prevent prolonged symptoms and improve outcomes in this vulnerable population.
Abstract:
Gastroesophageal reflux is a common problem in infancy and childhood. However, it may be overlooked as a cause or complication of respiratory disease and/or neurobehavioral problems. In this report of a 5-year-old child with cerebral palsy, severe developmental delay, and asthma, Sandifer's syndrome was diagnosed after she was found to have gastroesophageal reflux disease (GERD). Awareness of GERD and Sandifer's syndrome may spare neurologically impaired children from persistent symptoms and delayed appropriate treatment.