A Rare Under-Recognized Cause of Pseudo-Seizures

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5 Citations (Scopus)


We report the diagnosis of Sandifer syndrome in a neurodevelopmentally normal 16-month old boy with a history of atypical "absences" refractory to Valproate, Ethosuccimide or Clonazepam therapy and associated with a normal electroencephalogram (EEG). Videotaping of these episodes by his parents was crucial for the diagnosis and the associated gastroesophageal reflux (GER) was confirmed by esophageal pH studies and the presence of free GER. Following antireflux therapy his symptoms resolved entirely. Children with torticollis, dystonic posturing or atypical seizures should be evaluated for GER. Exhaustive neurologic investigations and anticonvulsant therapy are unnecessary.

Original languageEnglish
Pages (from-to)39-41
Number of pages3
JournalInternational Pediatrics
Issue number1
Publication statusPublished - 2004
Externally publishedYes


  • Gastroesophageal reflux
  • Sandifer syndrome
  • Seizures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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