Sandifer's syndrome

Sandifer's syndrome is a rare disorder appearing in childhood or adolescence where gastrointestinal disorders occur in association with spastic torticollis and dystonic body movements. The symptoms of the syndrome include epigastric pain, vomiting, spasmodic torticollis (neck spasms) and dystonia. The spasms lasting 1-3 minutes may recur up to 10 times in a day. The syndrome shows relation to food habits and symptoms often occur following food intake. Diagnosis is made on the basis of the presence of characteristic movement disorders associated with gastro-oesophageal reflux, esophagitis or hiatal hernia. Successful treatment of the associated disorders, such as GERD or hiatal hernia can provide relief.

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