"Twiddler syndrome" in two patients with deep brain stimulation.

Abstract:

:Twiddler syndrome occurs when a patient intentionally or unintentionally manipulates an implantable generator (usually a pacemaker) and dislodges the pacing leads, causing malfunction of the device. Though the syndrome has been described in patients with pacemakers, to our knowledge only one spontaneous case has been described in patients undergoing deep brain stimulation for movement disorders. We report the clinical cases of two patients with Parkinson's disease who had subthalamic bilateral electrodes implanted and presented the twiddler syndrome 2 and 3 years after surgery. We analysed the possible mechanisms of this syndrome and note that twiddler syndrome should be suspected in patients undergoing deep brain stimulation and showing hardware dysfunction.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Gelabert-Gonzalez M,Relova-Quinteiro JL,Castro-García A

doi

10.1007/s00701-009-0366-6

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

489-91

issue

3

eissn

0001-6268

issn

0942-0940

journal_volume

152

pub_type

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