Sandifer Syndrome refers to the combination of gastroesophageal reflux with episodic cervical dystonia. The diagnosis may be delayed if the clinician is unaware of the diagnosis.
Clinical features:
(1) episodes of cervical dystonia resulting in torticollis
(2) gastroesophageal reflux
(3) exclusion of other conditions (seizure disorder, ocular torticollis, etc)
(4) can occur at any age
where:
• Some patients may have hiatal hernia.
The torticollis will usually disappear if the GERD can be controlled.
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