Wójcik Michał, Krysiak Damian, Babik Piotr, Suchanek Łukasz, Ćwiertnia Michał, Trojak-Piętka Joanna, Kawecki Marek, Pollok-Waksmańska Wioletta, Mikulska Monika, Ilczak Tomasz
Department of Emergency Medicine, Faculty of Health Sciences, University of Bielsko-Biala, 43-309 Bielsko-Biała, Poland.
European Pre-Hospital Research Network, Nottingham NG11 8NS, UK.
Healthcare (Basel). 2025 Apr 11;13(8):883. doi: 10.3390/healthcare13080883.
Sandifer's syndrome is an uncharacteristic symptom of gastroesophageal reflux disease (GERD). It is often misdiagnosed as epilepsy. Paramedics can play a crucial role in recognising the differences between Sandifer's syndrome and epilepsy. Therefore, education is important to reduce the likelihood of misdiagnosis and the mistreatment of patients. This purpose of this study is to provides information and guidelines for collecting patients' medical history and identifying the most common symptoms, which support pre-hospital suspicion of Sandifer's syndrome. The study consisted of a clinical case study, concerning the management of the emergency team, in a 7-week-old child with symptoms indicative of an epileptic seizure. The clinical case analysis showed that a thorough examination of the patient helped to rule out epilepsy in the child and observed the characteristic symptoms of Sandifer syndrome. While assisting the child, a rare symptom of apnoea was also observed. : The role of the paramedics in diagnosing Sandifer's syndrome can be crucial. Their experience and knowledge of emergency situations, as well as correctly conducted tests during and immediately after ailment symptoms, can provide medical teams with key information that can help in making a correct diagnosis. The presented framework can be helpful. In the majority of cases, a correct diagnosis leads to the complete cessation of symptoms and lowers the risk of side effects from unnecessarily applied anti-epilepsy medication.
桑迪弗综合征是胃食管反流病(GERD)的一种非典型症状。它常被误诊为癫痫。护理人员在识别桑迪弗综合征和癫痫之间的差异方面可发挥关键作用。因此,开展教育对于降低误诊可能性和患者不当治疗的风险很重要。本研究的目的是提供信息和指南,用于收集患者病史并识别最常见症状,以支持院前对桑迪弗综合征的怀疑。该研究包括一项临床病例研究,涉及对一名出现癫痫发作症状的7周大儿童的急救团队管理。临床病例分析表明,对患者进行全面检查有助于排除该儿童的癫痫,并观察到桑迪弗综合征的特征性症状。在护理该儿童时,还观察到一种罕见的呼吸暂停症状。护理人员在诊断桑迪弗综合征方面的作用可能至关重要。他们在紧急情况方面的经验和知识,以及在疾病症状出现期间和之后立即正确进行的检查,可为医疗团队提供有助于做出正确诊断的关键信息。所提出的框架可能会有所帮助。在大多数情况下,正确诊断会使症状完全消失,并降低不必要使用抗癫痫药物产生副作用的风险。