Sandifer syndrome is a rare complication of gastroesophageal refl ux disease that may be more common than reported. This syndrome was fi rst mentioned more than 50 years ago with minimal documentation in the medical literature. Because of the presentation, the patient may be referred for lengthy, expensive, and unnecessary neurologic testing. This may lead to a missed or delayed diagnosis, mismanagement, and the use of inappropriate medication. Providers should be aware of Sandifer syndrome when evaluating a child with torticollis or unusual posturing that is not associated with neuromuscular disease or injury.
Journal of the American Academy of Physician Assistants
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Moore, Debora M. and Rizzolo, Denise, "Sandifer syndrome" (2018). Kean Publications. 1508.