We present a rare case of Twiddler's syndrome diagnosed in an asymptomatic patient on a routine follow up.This case reiterates the need for frequent monitoring of the implanted device.In addition,it was detected 4...We present a rare case of Twiddler's syndrome diagnosed in an asymptomatic patient on a routine follow up.This case reiterates the need for frequent monitoring of the implanted device.In addition,it was detected 4 years after implantation of an automatic implantable cardioverter defibrillator.This late representation is extremely uncommon.展开更多
The twiddler syndrome is maker malfunction, in which vice in its pocket results in an uncommon cause of pace-twisting or rotating of the delead retraction or coiling and subsequent malfunction of an implanted devices ...The twiddler syndrome is maker malfunction, in which vice in its pocket results in an uncommon cause of pace-twisting or rotating of the delead retraction or coiling and subsequent malfunction of an implanted devices such as a pacemaker, an implantable cardioverter-defibrillator （ICD）, cardiac resynchronization therapy （CRT）.展开更多
Background and Importance: Twiddler’s syndrome is a rare complication of DBS. This condition occurs when the IPG is consciously or inadvertently rotated in its pocket, resulting in torsion and possible dislodgement o...Background and Importance: Twiddler’s syndrome is a rare complication of DBS. This condition occurs when the IPG is consciously or inadvertently rotated in its pocket, resulting in torsion and possible dislodgement of implanted electrodes, with subsequent loss of function. Methods: Here we present a patient diagnosed with Twiddler’s syndrome. The patient presented with straining cables at the neck five months after bilateral Gpi DBS and an x-ray demonstrated Twiddler’s syndrome. Initial revision with preventive measures proved futile. After some time the condition recurred, now with dislocation of one of the intracerebral electrodes. In a second revision the IPG was placed under the pectoralis muscle, which has so far prevented further rotation. Results and Conclusion: While Twiddler’s syndrome is fairly uncommon, it remains to be a risk associated with DBS, recognizing the potential risks and signs might allow for preventive measures avoiding dislocation of the intracerebral electrodes.展开更多
文摘We present a rare case of Twiddler's syndrome diagnosed in an asymptomatic patient on a routine follow up.This case reiterates the need for frequent monitoring of the implanted device.In addition,it was detected 4 years after implantation of an automatic implantable cardioverter defibrillator.This late representation is extremely uncommon.
文摘The twiddler syndrome is maker malfunction, in which vice in its pocket results in an uncommon cause of pace-twisting or rotating of the delead retraction or coiling and subsequent malfunction of an implanted devices such as a pacemaker, an implantable cardioverter-defibrillator （ICD）, cardiac resynchronization therapy （CRT）.
文摘Background and Importance: Twiddler’s syndrome is a rare complication of DBS. This condition occurs when the IPG is consciously or inadvertently rotated in its pocket, resulting in torsion and possible dislodgement of implanted electrodes, with subsequent loss of function. Methods: Here we present a patient diagnosed with Twiddler’s syndrome. The patient presented with straining cables at the neck five months after bilateral Gpi DBS and an x-ray demonstrated Twiddler’s syndrome. Initial revision with preventive measures proved futile. After some time the condition recurred, now with dislocation of one of the intracerebral electrodes. In a second revision the IPG was placed under the pectoralis muscle, which has so far prevented further rotation. Results and Conclusion: While Twiddler’s syndrome is fairly uncommon, it remains to be a risk associated with DBS, recognizing the potential risks and signs might allow for preventive measures avoiding dislocation of the intracerebral electrodes.
