2014
DOI: 10.4236/ojmn.2014.44034
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Twiddler’s Syndrome in a Patient with Dystonic Tremor Treated with DBS

Abstract: 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 preventiv… Show more

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Cited by 3 publications
(9 citation statements)
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“…The hardware malfunction in our TS cases was restricted only to connection cables or the IPG itself. We have never observed a fracture of the extracranial part of the electrode or its upward withdrawal from the brain parenchyma due to TS . This can be related to our surgical technique when the connector is placed in a high‐parietal region and additionally immobilized with two nonabsorbable sutures to the parietal fascia.…”
Section: Discussionmentioning
confidence: 77%
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“…The hardware malfunction in our TS cases was restricted only to connection cables or the IPG itself. We have never observed a fracture of the extracranial part of the electrode or its upward withdrawal from the brain parenchyma due to TS . This can be related to our surgical technique when the connector is placed in a high‐parietal region and additionally immobilized with two nonabsorbable sutures to the parietal fascia.…”
Section: Discussionmentioning
confidence: 77%
“…This means that the prevalence of TS in these patients is estimated at 3,75% of operated patients and at 2,6% of implanted leads with the IPG harboring a single anchoring hole. These preliminary observations are hard to be compared with another case reports where only IPGs with two anchoring holes were implanted . According to the observations of some authors, TS—although rare—may affect approximately 1% of implanted patients .…”
Section: Discussionmentioning
confidence: 82%
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