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.
|Titolo:||Manipulating an internal pulse generator until twiddler's syndrome in a patient treated with deep brain stimulation for obsessive-compulsive disorder|
|Parole Chiave:||Deep brain stimulation; Obsessive-compulsive disorder; Twiddler’s syndrome|
|Settore Scientifico Disciplinare:||Settore MED/25 - Psichiatria|
|Data di pubblicazione:||feb-2018|
|Digital Object Identifier (DOI):||10.1007/s00701-017-3412-9|
|Appare nelle tipologie:||01 - Articolo su periodico|