BACKGROUND: Twiddler's syndrome consists of rotation or manipulation of an implantable pulse generator (IPG) in its subcutaneous pocket by a patient, thus causing hardware malfunction. METHODS: This syndrome is being reported more frequently in patients treated with deep brain stimulation (DBS). RESULTS: We report the case of a woman who had received bed nucleus of stria terminalis (BNST) electrodes for obsessive-compulsive disorder (OCD) and developed twiddler's syndrome a few months after surgery, causing hardware malfunction due to obsessive manipulation of the IPG. CONCLUSION: The patient did not have compulsions related to touching objects at admission, thus making it difficult to foresee and prevent TS.

Manipulating an internal pulse generator until twiddler's syndrome in a patient treated with deep brain stimulation for obsessive-compulsive disorder / A. Franzini, R. Ranieri, O. Gambini, G. Messina. - In: ACTA NEUROCHIRURGICA. - ISSN 0001-6268. - 160:2(2018 Feb), pp. 389-392. [10.1007/s00701-017-3412-9]

Manipulating an internal pulse generator until twiddler's syndrome in a patient treated with deep brain stimulation for obsessive-compulsive disorder

FRANZINI, ANDREA;R. Ranieri;O. Gambini;
2018-02

Abstract

BACKGROUND: Twiddler's syndrome consists of rotation or manipulation of an implantable pulse generator (IPG) in its subcutaneous pocket by a patient, thus causing hardware malfunction. METHODS: This syndrome is being reported more frequently in patients treated with deep brain stimulation (DBS). RESULTS: We report the case of a woman who had received bed nucleus of stria terminalis (BNST) electrodes for obsessive-compulsive disorder (OCD) and developed twiddler's syndrome a few months after surgery, causing hardware malfunction due to obsessive manipulation of the IPG. CONCLUSION: The patient did not have compulsions related to touching objects at admission, thus making it difficult to foresee and prevent TS.
Deep brain stimulation; Obsessive-compulsive disorder; Twiddler’s syndrome
Settore MED/25 - Psichiatria
ACTA NEUROCHIRURGICA
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/568088
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