Skip to Main content Skip to Navigation
Journal articles

Syndrome de Sandifer chez une enfant de 5 mois admise pour des spasmes épileptiques

Abstract : Sandifer's syndrome is a dystonic movement disorder in infants with gastroesophageal reflux (GER). It is probably misdiagnosed as epileptic seizures. We report the case of a 5-month-old infant with no past medical history admitted to a pediatric unit for suspicion of infantile spasms. She presented with dystonic movements of the upper left limb with left blepharospasm and an occasional dystonic head posture. Physical examination, EEG, brain MRI, and blood analysis were normal. Since the baby experienced regurgitations, Sandifer's syndrome was suspected and confirmed by 24-h esophageal pH monitoring that documented pathological GER. The dystonic symptoms quickly disappeared under treatment with thickened infant formula and sodium alginate. Infantile spasms remain the first diagnosis to explore with axial or para-axial dystonic postural events. Sandifer's syndrome should be retained when neurological investigations are normal and abnormal movements disappear under treatment of proven GER. Prognosis is excellent.
Document type :
Journal articles
Complete list of metadata

https://hal.univ-lorraine.fr/hal-01714463
Contributor : Devah Ul Connect in order to contact the contributor
Submitted on : Wednesday, February 21, 2018 - 3:16:10 PM
Last modification on : Tuesday, October 13, 2020 - 10:46:01 AM

Identifiers

Citation

Maëlle Wirth, C. Bonnemains, J. Auger, Emmanuel Raffo, Bruno Leheup. Syndrome de Sandifer chez une enfant de 5 mois admise pour des spasmes épileptiques. Archives de Pédiatrie, Elsevier, 2016, 23 (2), pp.159-162. ⟨10.1016/j.arcped.2015.11.006⟩. ⟨hal-01714463⟩

Share

Metrics

Record views

201