Sandifer syndrome involves spasmodic torsional dystonia with arching of the back and rigid opisthotonic posturing, mainly involving the neck, back, and upper extremities, associated with symptomatic gastroesophageal reflux...it occurs in less than 1% of children with gastroesophageal reflux. .....Sandifer syndrome is most commonly mistaken for seizures. The child typically appears to have an alteration in mental status associated with the tonic posturing. A relationship with feeding may suggest

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