Sandifer Syndrome: A Case Report

Sandifer syndrome is an extra oesophageal manifestation of gastrointestinal reflux disease that usually presents with torticollis and dystonia (often mimicking epilepsy). Here, we describe a case of a four and a half years old child with convulsion, neck contortion, and irritability. Gastrointestin...

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Autores principales: Abhigan Babu Shrestha, Prateet Rijal, Unnat Hamal Sapkota, Pashupati Pokharel, Sajina Shrestha
Formato: article
Lenguaje:EN
Publicado: Nepal Medical Association 2021
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Acceso en línea:https://doaj.org/article/b13fd7c1c01b45cdb985462834ef3142
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spelling oai:doaj.org-article:b13fd7c1c01b45cdb985462834ef31422021-11-07T19:11:49ZSandifer Syndrome: A Case Report10.31729/jnma.64720028-27151815-672Xhttps://doaj.org/article/b13fd7c1c01b45cdb985462834ef31422021-10-01T00:00:00Zhttps://www.jnma.com.np/jnma/index.php/jnma/article/view/6472https://doaj.org/toc/0028-2715https://doaj.org/toc/1815-672X Sandifer syndrome is an extra oesophageal manifestation of gastrointestinal reflux disease that usually presents with torticollis and dystonia (often mimicking epilepsy). Here, we describe a case of a four and a half years old child with convulsion, neck contortion, and irritability. Gastrointestinal reflux disease was suspected on the earlier visit of the patient based on the presenting symptom of vomiting and cough. Electroencephalogram revealed normal findings. A barium meal radiograph was performed which was insignificant for gastrointestinal reflux disease and hiatal hernia. Complete blood count showed results suggestive of iron deficiency anaemia, while the rest of the biochemical parameters and the infection screening were normal. The case was confirmed by a medication trial for gastrointestinal reflux disease. This syndrome is often misdiagnosed as infantile seizure and musculoskeletal disorder. So, physicians need to have a sound knowledge of Sandifer Syndrome while assessing a child presenting with convulsion and torticollis.  Abhigan Babu ShresthaPrateet RijalUnnat Hamal SapkotaPashupati PokharelSajina ShresthaNepal Medical Associationarticlegastroesophageal refluxsandifer’s syndromeseizurestorticollisMedicine (General)R5-920ENJournal of Nepal Medical Association, Vol 59, Iss 242 (2021)
institution DOAJ
collection DOAJ
language EN
topic gastroesophageal reflux
sandifer’s syndrome
seizures
torticollis
Medicine (General)
R5-920
spellingShingle gastroesophageal reflux
sandifer’s syndrome
seizures
torticollis
Medicine (General)
R5-920
Abhigan Babu Shrestha
Prateet Rijal
Unnat Hamal Sapkota
Pashupati Pokharel
Sajina Shrestha
Sandifer Syndrome: A Case Report
description Sandifer syndrome is an extra oesophageal manifestation of gastrointestinal reflux disease that usually presents with torticollis and dystonia (often mimicking epilepsy). Here, we describe a case of a four and a half years old child with convulsion, neck contortion, and irritability. Gastrointestinal reflux disease was suspected on the earlier visit of the patient based on the presenting symptom of vomiting and cough. Electroencephalogram revealed normal findings. A barium meal radiograph was performed which was insignificant for gastrointestinal reflux disease and hiatal hernia. Complete blood count showed results suggestive of iron deficiency anaemia, while the rest of the biochemical parameters and the infection screening were normal. The case was confirmed by a medication trial for gastrointestinal reflux disease. This syndrome is often misdiagnosed as infantile seizure and musculoskeletal disorder. So, physicians need to have a sound knowledge of Sandifer Syndrome while assessing a child presenting with convulsion and torticollis. 
format article
author Abhigan Babu Shrestha
Prateet Rijal
Unnat Hamal Sapkota
Pashupati Pokharel
Sajina Shrestha
author_facet Abhigan Babu Shrestha
Prateet Rijal
Unnat Hamal Sapkota
Pashupati Pokharel
Sajina Shrestha
author_sort Abhigan Babu Shrestha
title Sandifer Syndrome: A Case Report
title_short Sandifer Syndrome: A Case Report
title_full Sandifer Syndrome: A Case Report
title_fullStr Sandifer Syndrome: A Case Report
title_full_unstemmed Sandifer Syndrome: A Case Report
title_sort sandifer syndrome: a case report
publisher Nepal Medical Association
publishDate 2021
url https://doaj.org/article/b13fd7c1c01b45cdb985462834ef3142
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AT prateetrijal sandifersyndromeacasereport
AT unnathamalsapkota sandifersyndromeacasereport
AT pashupatipokharel sandifersyndromeacasereport
AT sajinashrestha sandifersyndromeacasereport
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