• Stereotact Funct Neurosurg · Jan 2008

    Case Reports

    A tremulous twiddler.

    • Zvi Israel and Alexander Spivak.
    • Department of Neurosurgery, Hadassah University Hospital, Jerusalem, Israel. israelz@hadassah.org.il
    • Stereotact Funct Neurosurg. 2008 Jan 1; 86 (5): 297-9.

    AbstractTwiddler's syndrome describes the intentional external manipulation or spontaneous rotation of implanted devices such as cardiac pacemakers. Here we report the same phenomenon occurring in a patient with an implanted deep brain stimulator generator. The clinical syndrome is described and potential technical nuances to prevent its occurrence are suggested.Copyright 2008 S. Karger AG, Basel.

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