Sandifer syndrome.

Debora M Moore, Denise Rizzolo

Journal: JAAPA : official journal of the American Academy of Physician Assistants 2019;31(4):18-22

PMID: 29517619

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Abstract

Sandifer syndrome is a rare complication of gastroesophageal reflux disease that may be more common than reported. This syndrome was first mentioned more than 50 years ago with minimal documentation in the medical literature. Because of the presentation, the patient may be referred for lengthy, expensive, and unnecessary neurologic testing. This may lead to a missed or delayed diagnosis, mismanagement, and the use of inappropriate medication. Providers should be aware of Sandifer syndrome when evaluating a child with torticollis or unusual posturing that is not associated with neuromuscular disease or injury.

Address: Debora M. Moore practices at Dawes Family Medicine in Santa Maria, Calif. Denise Rizzolo is an assistant clinical professor of the Pace Completion Program in the Department of Physician Assistant Studies in New York City, an associate professor in the School of Nursing at Kean University in Union, N.J., and an assessment specialist for the Physician Assistant Education Association. The authors have disclosed no potential conflicts of interest, financial or otherwise.

DOI: 10.1097/01.JAA.0000531044.72598.26

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MeSH Terms: Child, Child, Preschool, Diagnosis, Differential, Fundoplication, Gastroesophageal Reflux, Hernia, Hiatal, Histamine Antagonists, Humans, Infant, Life Style, Posture, Proton Pump Inhibitors, Seizures, Torticollis