| "Twiddler syndrome" in two patients with deep brain stimulation. | |
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MedLine Citation:
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PMID: 19436950 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Miguel Gelabert-Gonzalez; Jos?-Luis Relova-Quinteiro; Alfonso Castro-Garc?a |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-05-13 |
Journal Detail:
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Title: Acta neurochirurgica Volume: 152 ISSN: 0942-0940 ISO Abbreviation: Acta Neurochir (Wien) Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-02-26 Completed Date: 2010-06-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0151000 Medline TA: Acta Neurochir (Wien) Country: Austria |
Other Details:
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Languages: eng Pagination: 489-91 Citation Subset: IM |
Affiliation:
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Department of Surgery, University of Santiago de Compostela, Santiago de Compostela, Spain. miguel.gelabert@usc.es |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Deep Brain Stimulation / instrumentation*, methods Delirium, Dementia, Amnestic, Cognitive Disorders / complications Electrodes, Implanted / adverse effects Equipment Failure* Female Humans Neural Pathways / anatomy & histology, physiology, surgery Pacemaker, Artificial / adverse effects*, standards Parkinson Disease / physiopathology, therapy* Patient Compliance / psychology* Patient Education as Topic Postoperative Complications / etiology, pathology, radiography Reoperation Self-Injurious Behavior / prevention & control, psychology* Sex Factors Stereotaxic Techniques / instrumentation Subthalamic Nucleus / anatomy & histology, physiology, surgery Syndrome Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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