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Pacing Clin Electrophysiol · Mar 2009
Case ReportsObsessive compulsive disorder in a patient with twiddler's syndrome.
- Nematollah Jaafari, Marie-Sophie Bachollet, Celine Paillot, Alain Amiel, Jean-Yves Rotge, Nicolas Lafay, Solene Quentin, Issa Wassouf, Vincent Camus, Jean-Louis Senon, and Wissam El Hage.
- Department of Psychiatry, Centre Hospitalier Henri Laborit, CIC-INSERM U 802, Université de Poitiers, Poitiers, France. n.jaafari@wanadoo.fr
- Pacing Clin Electrophysiol. 2009 Mar 1;32(3):399-402.
AbstractTwiddler's or twist syndrome is the twisting of pulse generators around themselves. It may result from mechanical manipulation that can induce the malfunction of the device. In this case, twiddler's syndrome resulted from compulsive checking of the device. The implantable cardioverter-defibrillator (ICD) triggered the development of an obsessive compulsive disorder (OCD). Two invasive procedures were required to replace the ICD. Psychiatric intervention prevented the recurrence of twiddler's syndrome in this patient for more than 2 years. We believe that preimplant psychiatric assessment should be the rule.
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