Sandifer’s Syndrome in a 3-Month-Old Male Infant: A Case Report  

作　　者：Ahmed Basal Ali Aldirawi Samer Abuzerr 

机构地区：[1]Pediatrics Department, Shaheed Mohammed Al-Durra Hospital, Ministry of Health, Gaza, Palestine [2]Neonatal Intensive Care Unit, Al-Shifa Hospital, Ministry of Health, Gaza, Palestine [3]Department of Environmental Health Engineering, School of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran [4]Quality Improvement and Infection Control Unit, Ministry of Health, Gaza, Palestine

出　　处：《Open Journal of Pediatrics》2019年第3期232-238,共7页儿科学期刊（英文）

摘　　要：Background: Sandifer syndrome (SS) is the association of gastroesophageal reflux disease (GERD) with neurological manifestations (spastic torticollis and paroxysmal dystonic postures with arching of the back and rigid opisthotonic posturing. Case presentation: A 3-month-old male infant presented to our emergency department with torticollis and dystonic episodes for two months associated with vomiting. These movements were observed during or just after feeding. Since the patient developed regurgitations with torticollis and dystonic episodes with arching of the back and rigid opisthotonic posturing. The electroencephalogram was normal. Barium swallow/meal examination revealed GERD without evidence of hiatus hernia. Apgar scores were 7 at 1 min and 9 at 5 min. Conclusion: Early recognition and treatment of GERD in patients with Sandifer syndrome enhance the success of medical management and contributes to improved quality of life for patients with brain damage. The paroxysmal dystonic behaviors were dramatically disappeared completely after medical management in this patient.Background: Sandifer syndrome (SS) is the association of gastroesophageal reflux disease (GERD) with neurological manifestations (spastic torticollis and paroxysmal dystonic postures with arching of the back and rigid opisthotonic posturing. Case presentation: A 3-month-old male infant presented to our emergency department with torticollis and dystonic episodes for two months associated with vomiting. These movements were observed during or just after feeding. Since the patient developed regurgitations with torticollis and dystonic episodes with arching of the back and rigid opisthotonic posturing. The electroencephalogram was normal. Barium swallow/meal examination revealed GERD without evidence of hiatus hernia. Apgar scores were 7 at 1 min and 9 at 5 min. Conclusion: Early recognition and treatment of GERD in patients with Sandifer syndrome enhance the success of medical management and contributes to improved quality of life for patients with brain damage. The paroxysmal dystonic behaviors were dramatically disappeared completely after medical management in this patient.

关 键 词：Sandifer SYNDROME GASTROESOPHAGEAL REFLUX TORTICOLLIS Dystonic Postures 

分 类 号：R5[医药卫生—内科学]