Prevalence of twiddler's syndrome as a cause of deep brain stimulation hardware failure

Stereotactic and Functional Neurosurgery

Volumn 88, Issue 6, 2010, Pages 353-359

  Burdick, Adam P ^a   Okun, Michael S ^a   Haq, Ihtsham U ^b   Ward, Herbert E ^a   Bova, Frank ^a   Jacobson, Charles E ^a   Bowers, Dawn ^a   Zeilman, Pam ^a   Foote, Kelly D ^a  

^a UNIVERSITY OF FLORIDA   (United States)

^b WAKE FOREST SCHOOL OF MEDICINE   (United States)

Author keywords

Adverse event; Complication; Deep brain stimulation; Twiddler's syndrome

Indexed keywords

AGED; ANAMNESIS; ARTICLE; BRAIN DEPTH STIMULATION; CASE REPORT; CLINICAL FEATURE; CLINICAL PRACTICE; FEMALE; HUMAN; IMPEDANCE; IMPLANT; MALE; MOTOR DYSFUNCTION; POSTOPERATIVE COMPLICATION; PREVALENCE; PULSE GENERATOR; TWIDDLER SYNDROME;

AGED; DATABASES, FACTUAL; DEEP BRAIN STIMULATION; EQUIPMENT FAILURE; FEMALE; HUMANS; INTRAOPERATIVE COMPLICATIONS; MOVEMENT DISORDERS; PREVALENCE; PROSPECTIVE STUDIES; SYNDROME;

EID: 77956800539     PISSN: 10116125     EISSN: None     Source Type: Journal    
DOI: 10.1159/000319039     Document Type: Article

References (18)

1. Benabid AL, Pollak P, Gao D, Hoffmann D, Limousin P, Gay E, et al: Chronic electrical stimulation of the ventralis intermedius nucleus of the thalamus as a treatment of movement disorders. J Neurosurg 1996;84:203-214.
2. Limousin P, Krack P, Pollak P, Benazzouz A, Ardouin C, Hoffmann D, et al: Electrical stimulation of the subthalamic nucleus in advanced Parkinson's disease. N Engl J Med 1998;339:1105-1111. (Pubitemid 28465758)
3. Hariz MI: Complications of deep brain stimulation surgery. Mov Disord 2002;17(suppl 3): S162-S166.
4. Higgins GL 3rd, Saucier JR: Rare condition of pacemaker twiddler's syndrome. J Emerg Med 1996;14:759-760.
5. Geissinger G, Neal JH: Spontaneous twiddler's syndrome in a patient with a deep brain stimulator. Surg Neurol 2007;68:454-456; discussion 6.
6. Gelabert-Gonzalez M, Relova-Quinteiro JL, Castro-Garcia A: 'Twiddler syndrome' in two patients with deep brain stimulation. Acta Neurochir (Wien) 2010;152:489-491.
7. Young KR, Bailey WM: Twiddler's syndrome: an unusual cause of pacemaker malfunction. J La State Med Soc 2002;154:152-153.
8. Robinson LA, Windle JR: Defibrillator twidd ler's syndrome. Ann Thorac Surg 1994;58:247-249.
9. Bohm A, Komaromy K, Pinter A, Preda I: Pacemaker lead fracture due to twiddler's syndrome. Pacing Clin Electrophysiol 1998;21:1162-1163.
10. Benezet-Mazuecos J, Benezet J, Ortega-Carnicer J: Pacemaker twiddler syndrome. Eur Hear t J 2007;28:2000.
11. Parsonnet V: A stretch fabric pouch for implanted pacemakers. Arch Surg 1972;105:654-656.
12. Mancini MC, Grubb BP: A technique for the prevention of automatic implantable cardioverter defibrillator generator migration. Pacing Clin Electrophysiol 1990;13:946-947.
13. Higgins SL, Suh BD, Stein JB, Meyer DB, Jons J, Willis D: Recurrent t widd ler's synd rome in a nonthoracotomy ICD system despite a Dacron pouch. Pacing Clin Electrophysiol 1998;21:130-133.
14. Gupta A, Zegel HG, Dravid VS, Nierenberg SJ, Freiman DB: Value of radiography in diagnosing complications of cardioverter defibrillators implanted without thoracotomy in 437 patients. AJR Am J Roentgenol 1997;168:105-108.
15. Okun MS, Fernandez HH, Wu SS, Kirsch-Darrow L, Bowers D, Bova F, et al: Cognit ion and mood in Parkinson's disease in subthalamic nucleus versus globus pallidus interna deep brain stimulation: the COMPARE trial. Ann Neurol 2009;65:586-595.
16. Gabriels L, Cosyns P, Nuttin B, Demeulemeester H, Gybels J: Deep brain stimulation for treatment-refractory obsessive-compulsive disorder: psychopathological and neuropsychological outcome in three cases. Acta Psychiatr Scand 2003;107:275-282.
17. Boyle NG, Anselme F, Monahan KM, Beswick P, Schuger CD, Zebede J, et al: Twiddler's syndrome variants in ICD patients. Pacing Clin Electrophysiol 1998;21:2685-2687.
18. Machado AG, Hiremath GK, Salazar F, Rezai AR: Fracture of subthalamic nucleus deep brain stimulation hardware as a result of compulsive manipulation: case report. Neurosurgery 2005;57: E1318; discussion E.