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Neurological Sciences

, Volume 34, Issue 3, pp 405–406 | Cite as

A chronic case of adult-onset Sandifer syndrome

  • Abdul Qayyum RanaEmail author
  • Muhammad Saad Yousuf
  • Saliman Joian
Letter to the Editor

Dear Editor,

Sandifer syndrome (SS), named after Dr. Paul Sandifer, is a rare disorder usually occurring in infants and young children. It is primarily characterised by dystonic movements of head and neck associated with gastroesophageal reflux disease (GERD) and it is considered as a neurological disorder [1].

Very rarely SS has been recognized in adults, and to the best of our knowledge, only two case reports have been published in this regard [2, 3]. Shahnawaz et al. [2] reported a 58-year-old African woman with SS which acutely manifested itself 3 months prior to diagnosis. Dystonic symptoms of the disorder began in close proximity to her facial palsy. Somjit et al. [3] presented a case of a 27-year-old male with intellectual disability who had episodes of acute pain, and head and eye deviation to one side which was incorrectly diagnosed to have refractory partial seizures.

We present an atypical case of SS in an adult male with a longstanding history of dystonic symptoms...

Keywords

Dystonia Intellectual Disability Gastroesophageal Reflux Disease Rabeprazole GERD Symptom 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

Supplementary material

Supplementary material 1 (MPG 14854 kb)

References

  1. 1.
    Frankel E, Shalaby T, Orenstein S (2006) Sandifer syndrome posturing: relation to abdominal wall contractions, gastroesophageal reflux, and fundoplication. Dig Dis Sci 51:635–640PubMedCrossRefGoogle Scholar
  2. 2.
    Shahnawaz M, van der Westhuizen LR, Gledhill RF (2001) Episodic cervical dystonia associated with gastro-oesophageal reflux: a case of adult-onset sandifer syndrome. Clin Neurol Neurosurg 103:212–215PubMedCrossRefGoogle Scholar
  3. 3.
    Somjit S, Lee Y, Berkovic S, Harvey AS (2004) Sandifer syndrome misdiagnosed as refractory partial seizures in an adult. Epileptic disorders 6:49–50PubMedGoogle Scholar
  4. 4.
    Yasaka S, Murakami K, Abe T, Anan J, Mizukami K, Tanahashi J et al (2009) Evaluation of esophageal function in patients with gastroesophageal reflux disease using transnasal endoscopy. J Gastroenterol Hepatol 24:1677–1682PubMedCrossRefGoogle Scholar
  5. 5.
    Deskin RW (1995) Sandifer syndrome: a cause of torticollis in infancy. Int J Pediatr Otorhinolaryngol 32:183–185PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Abdul Qayyum Rana
    • 1
    Email author
  • Muhammad Saad Yousuf
    • 1
  • Saliman Joian
    • 1
  1. 1.Parkinson’s Clinic of Eastern Toronto and Movement Disorders CenterTorontoCanada

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