Torticollis with hiatus hernia in infancy. Sandifer syndrome
W. J. Murphy and S. S. Gellis
Two infants with torticollis and hiatus hernia (Sandifer Syndrome) are
presented. Both infants improved with medical management. Abnormal head and
neck positioning is attributed to esophagitis secondary to gastroesophageal
reflux, with or without hiatus hernia. Since esophagitis due to reflux is
not necessarily accompanied by vomiting, infants with torticollis shoud be
studied for gastroesophageal reflux. If present, medical management is
usually successful.