AI Article Synopsis
- A child experienced frequent muscle stiffness in the arms and neck along with regurgitation, leading to a preliminary diagnosis of gastroesophageal reflux disease, possibly Sandifer syndrome.
- After treatment for reflux didn’t alleviate the symptoms, further investigation revealed a neurological issue.
- An MRI identified two large intramedullary cysts, and following their surgical removal, the child's symptoms completely resolved.
Article Abstract
We report the case of a child with frequent episodes of arms and neck hypertonia and regurgitation. These characteristics, associated with an esophagitis, suggested the diagnosis of gastroesophageal reflux disease (Sandifer syndrome?). Because after an appropriate therapy the symptoms didn't disappear, a neurological disorder was suspected: MRI showed two bulky intramedullary cysts. After the removal of the cysts symptoms resolved.
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