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Living with Sandifer syndrome

A movement disorder with unusual head and neck postures that occurs along with acid reflux and sometimes a hiatal hernia.

Understanding Sandifer syndrome

Sandifer syndrome is a movement disorder (paroxysmal dystonia) that occurs with gastroesophageal reflux and sometimes hiatal hernia.

People may have odd head and neck postures and movements. These occur with acid reflux, feeding difficulties, and sometimes a hiatal hernia (part of the stomach pushing up). It can occur at a variety of ages.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Unusual head movements and postures
  • Wry neck (torticollis)
  • Acid reflux
  • Feeding difficulties
  • Inflamed esophagus (esophagitis)
  • Anemia and vomiting blood

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, digestive system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could reflux be causing the unusual movements?
What reflux treatment options are available?
Which specialists should be involved?

Quick facts

Symptoms usually starta variety of ages

GARD describes it as occurring with gastroesophageal reflux and sometimes hiatal hernia. It does not list a gene or inheritance pattern.

GeneticNeurologicalGastrointestinal

Also known as: sandifer's syndrome

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Sandifer syndromeGARD ID 9684 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Sandifer syndrome.

Explore the Sandifer syndrome blog

Explore research for Sandifer syndrome

Explore actively recruiting Sandifer syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Sandifer syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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