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

OJPed > Vol.9 No.3, September 2019

Open Journal of Pediatrics

Volume 9, Issue 3 (September 2019)

ISSN Print: 2160-8741 ISSN Online: 2160-8776

Google-based Impact Factor: 0.45 Citations

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

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DOI: 10.4236/ojped.2019.93022 966 Downloads 10,361 Views

Author(s)

Ahmed Basal¹, Ali Aldirawi², Samer Abuzerr^3,4*

Affiliation(s)

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

ABSTRACT

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.

KEYWORDS

Sandifer Syndrome, Gastroesophageal Reflux, Torticollis, Dystonic Postures

Share and Cite:

Basal, A. , Aldirawi, A. and Abuzerr, S. (2019) Sandifer’s Syndrome in a 3-Month-Old Male Infant: A Case Report. Open Journal of Pediatrics, 9, 232-238. doi: 10.4236/ojped.2019.93022.

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