What is Sandifer syndrome?

Sandifer syndrome (SS) is a type of movement disorder that constitutes paroxysmal spasms of head, neck, and back arching but spares the limbs. SS is often associated with gastroesophageal reflux (GERD) in children.
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Is Sandifer's syndrome serious?

Sandifer syndrome isn't a serious condition. It typically clears up by age 2, and it isn't associated with any long-term complications.
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What does Sandifer syndrome look like?

In a typical attack of Sandifer syndrome, a baby's back will arch suddenly. With their back flexed, their head and legs also splay out backward. They become stiff. Other expressions of the syndrome include nodding head movements, twisting or tilting of the head, or thrashing limbs.
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What is the treatment for Sandifer syndrome?

Sandifer syndrome does not require treatment and typically resolves in the first 12-24 months of life, as nutrition is gradually less dependent on volumes of fluid, and the lower esophageal sphincter function improves unless the spasms are the result of gastroesophageal disease that is significant enough to interfere ...
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Does Sandifer syndrome go away?

In children, GERD usually goes away on its own after they're about 18 months old, when the muscles of their esophagus mature. Sandifer syndrome usually also goes away once this happens.
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Sandifer syndrome



Is Sandifer syndrome neurological?

What is Known: Sandifer syndrome is a rare complication of gastro-oesophageal reflux disease (GERD) when a patient presents with extraoesophageal symptoms, typically neurological. It may be difficult to recognise due to its non-specific presentation and lack of gastrointestinal symptoms.
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Is Sandifer syndrome Real?

Sandifer syndrome is a condition that involves spasmodic torsional dystonia with arching of the back and rigid opisthotonic posturing, associated with symptomatic gastroesophageal reflux, esophagitis, or hiatal hernia. Initial treatment consists of lifestyle changes, such as dietary modification and positioning.
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Why is my baby throwing his head back?

Some babies arch their backs and throw their heads back when they're upset or frustrated. This can happen while they're lying down, sitting down, standing — or even cradling in your arms. A baby in the heat of a tantrum may also cry, whine, and thrash about. Just about anything might set off a temper tantrum.
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Can acid reflux cause seizures?

Studies have shown that GERD can be an important cause of paroxysmal nonepileptic events. GERD can mimic epileptic seizure and may be misdiagnosed as epilepsy.
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Why is my baby crying and arching his back?

Babies and newborns most often arch their backs while they're crying, and sometimes when nursing, eating, sleeping, or working on motor development. It's typically just an expressive movement, a way to communicate, or a reflexive motion in reaction to something.
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Why does my baby twist his neck?

Infant torticollis happens when the muscles that connect the breastbone and collarbone to the skull (sternocleidomastoid muscle) are shortened. Because your baby's neck muscle is shortened on one side of the neck, it pulls their head into a tilt or rotation, and often both.
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Can acid reflux cause seizures in babies?

Gastroesophageal reflux disease (GERD) is a digestive disorder that can cause many different symptoms, and some symptoms of GERD may be associated with PNEs. GERD can cause laryngospasm, bradycardia, and apneic episodes in infants, which might be mistaken as epileptic seizures [4], [5], [6], [7].
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How do you know if your baby has GERD?

The most common symptoms of gastroesophageal reflux in infants and children are: Frequent or recurrent vomiting. Frequent or persistent cough or wheezing. Refusing to eat or difficulty eating (choking or gagging with feeding)
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Why does my baby throw himself forward?

Yes. Lots of babies and toddlers do this when they're upset. As your baby develops, they will start to get a sense of what they do and don't want. They're also getting physically stronger, which means they're more able to let you know how they're feeling.
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Why does my baby rub his face in my shirt?

The Rooting Reflex

The most probable reason your little babe is rubbing her face on you is because of an involuntary primitive motor reflex newborns have called a rooting reflex, which signals that your baby is hungry.
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Can stomach problems cause seizures?

Nausea, pain, flatulence, or hunger can herald a seizure. But are the abdominal symptoms ever evidence of seizures in their own right? Some experts think the diagnosis of abdominal epilepsy should be made when abdominal symptoms are the main manifestation of seizure activity.
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Can GERD lead to death?

The findings in the study reported here show that conserva- tively treated GERD can be fatal, despite modern effective antireflux medication (proton-pump inhibitors, H2 antago- nists). Hemorrhagic complications were the commonest cause of death, followed by aspiration pneumonia and perforation of an esophageal ulcer.
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Can missing meals cause seizures?

Skipping meals

Low blood sugar can sometimes trigger a seizure in people with epilepsy. Eating regular meals can help your seizures stay controlled.
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What are signs of cerebral palsy in babies?

poor muscle tone in a baby's limbs, resulting in heavy or floppy arms and legs. stiffness in a baby's joints or muscles, or uncontrolled movement in a baby's arms or legs. difficulty coordinating body movements, including grasping and clapping. a delay in meeting milestones, such as rolling over, crawling, and walking.
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How can you tell if a baby has autism?

Recognizing signs of autism
  • May not keep eye contact or makes little or no eye contact.
  • Shows no or less response to a parent's smile or other facial expressions.
  • May not look at objects or events a parent is looking at or pointing to.
  • May not point to objects or events to get a parent to look at them.
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Why does my baby stiffen up and scream?

Hypertonia is a condition that makes a baby's muscles stiff and hard to move. It happens because of damage to areas of the brain and spinal cord that control muscle movements. While babies need to contract their muscles to move their bodies and sit upright, muscles that are continually contracted are less flexible.
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Can a virus cause seizures in babies?

Infection. The fevers that trigger febrile seizures are usually caused by a viral infection, and less commonly by a bacterial infection. The flu (influenza) virus and the virus that causes roseola, which often are accompanied by high fevers, appear to be most frequently associated with febrile seizures.
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When should I be concerned about spitting up?

Contact your baby's doctor if your baby: Isn't gaining weight. Spits up forcefully. Spits up green or yellow fluid.
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What is a Brue episode?

A Brief Resolved Unexplained Event (BRUE) happens suddenly and can be scary for parents and caregivers. When a BRUE occurs, babies may seem to stop breathing. Their skin color may change to pale or blue. Their muscles may relax or tighten.
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How can you tell if your baby has silent reflux?

Babies with silent reflux may not spit up after feedings, making it more difficult to spot.
...
Symptoms of silent reflux include:
  • Irritability.
  • Trouble sleeping.
  • Choking.
  • Gagging.
  • Nasal congestion.
  • Arching the back while feeding.
  • Chronic coughing.
  • Refusing to eat.
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