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Effect of dystonic movements on oesophageal peristalsis in Sandifer's syndrome.
  1. J W Puntis,
  2. H L Smith,
  3. R G Buick,
  4. I W Booth
  1. Institute of Child Health, University of Birmingham.


    A 5 year old girl with gross gastrooesophageal reflux had pronounced dystonic neck movements that resolved after fundoplication and resolution of the oesophagitis (Sandifer's syndrome). Oesophageal manometry before operation showed that peristalsis improved when she tilted her head to one side. Dystonic posturing may promote acid clearance from the distal oesophagus.

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