Sandifer's syndrome: a new cause.

Abnormal movements of the head and neck associated with gastro-oesophageal reflux were first described in five children by Kinsbourne in 1964.' Two of these patients were under the care of the neurologist Paul Sandifer, whose name the syndrome bears. Since then sporadic reports have appeared in the literature, always in children with reflux oesophagitis. We present a case of typical "Sandifer' movements caused not by reflux, but by the pain of a chronic, penetrating oesophageal foreign body.