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Sandifer syndrome reconsidered.

H Mandel¹, E Tirosh, M Berant

¹Department of Pediatrics, Rambam Medical Center, Haifa, Israel.

Acta Paediatrica Scandinavica

|September 1, 1989

Summary

This summary is machine-generated.

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Sandifer syndrome can mimic neurological disorders in children. Early recognition of this condition is crucial for accurate diagnosis and appropriate treatment, avoiding unnecessary medical interventions.

Area of Science:

Pediatric Neurology
Gastroenterology

Background:

Sandifer syndrome is a rare condition characterized by intermittent paroxysmal postural abnormalities.
It is often associated with gastroesophageal reflux disease (GERD) in infants and children.

Observation:

This study describes three pediatric cases of Sandifer syndrome.
One patient was initially misdiagnosed with a neurological disease.
Two patients had underlying neurological damage that complicated the initial interpretation of their dystonic symptoms.

Findings:

Sandifer syndrome can present with bizarre dystonic features that may be mistaken for primary neurological conditions.
The association between GERD and these dystonic movements is a key diagnostic clue.

Implications:

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Increased awareness of Sandifer syndrome among clinicians is essential to prevent misdiagnosis.
Prompt diagnosis can spare children from unnecessary neurological investigations and suffering.
Appropriate treatment, often involving GERD management, can resolve the dystonic symptoms.