• Neurocirugia · Jul 2015

    Case Reports

    [Twiddler's syndrome in a patient with obsessive-compulsive disorder treated with deep brain stimulation].

    • Nicolás Moliz, Majed J Katati, Benjamín Iañez, Asunción García, Eskandar Yagui, and Ángel Horcajadas.
    • Servicio de Neurocirugía, Hospital Universitario Virgen de las Nieves - Hospital de Neurotraumatología, Granada, España. Electronic address: nicolas_moliz@hotmail.com.
    • Neurocirugia. 2015 Jul 1; 26 (4): 196-9.

    AbstractTwiddler's syndrome is a rare complication associated with implantable electrical stimulation devices. First described in a patient with a pacemaker, it is a known complication in the field of cardiology. However, it is not so recognised in the world of neurosurgery, in which it has been described in relation to deep brain stimulation (DBS) devices. Characterised by manipulating either consciously or unconsciously the generator of such devices, which causes it to rotate on itself, the syndrome causes the coiling of the wiring of these systems and can lead to their rupture or the displacement of intracranial electrodes. We describe a case of twiddler's syndrome in a patient treated with DBS for obsessive-compulsive disorder, in which clinical deterioration presented after a good initial response. Control radiographs revealed rotation of the wiring system and displacement of the intracranial electrodes. Copyright © 2013 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

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