sanddifer综合征6年演变1例

C. Maragoto-Rizo, Arturo Rodriguez-Lopez, Irene González-González, H. Vera-Cuesta, L. Gómez-Fernández, M. Ortega, Reinaldo Galvizo-Sanchez, N. Fuentes
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引用次数: 0

摘要

我们描述了一名男性儿科患者,自他24个月大以来,表现出头部肌张力障碍和偶尔的上肢肌张力障碍运动。这些动作与“喉咙灼烧感”、呕吐、不恶心和牙齿腐蚀有关。他接受了抗癫痫药、抗精神病药、多巴胺能药和质子泵抑制剂的治疗,但没有明显的效果。六年后,医生做出了正确的诊断,并指出了适当的治疗方法。在这段时间里,病人经常住进医院,并接受了许多实验室和其他诊断检查。所讨论的疾病非常罕见,由于这个特殊的病例以前被误诊并因此受到虐待,它可能引起科学界、卫生保健专业人员和医学专业学生的兴趣。
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A Sandifer Syndrome Case with 6 Year of Evolution
We describe a male pediatric patient showing dystonic head posture and occasional dystonic movements on the upper limbs since his 24 month of age. Those movements are associated with “burning sensation in the throat”, vomiting without nausea and dental erosion. He was treated with antiepileptics, neuroleptics, dopaminergics and proton pump inhibitors, without any evident results. Six years later a proper diagnosis was made and the proper treatment was indicated. In that period of time the patient was recurrently admitted on the hospital and submitted to many lab and other diagnostics tests. The disorder in question is very uncommon and as this particular case was formerly misdiagnosed and hence mistreated, it might be on the interest to the scientific community, health care professionals and medical science students.
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