Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature-Reference-Cited by-同舟云学术

Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature

Published:2022-02-25 Issue:4 Volume:164 Page:1183-1186
ISSN:0942-0940
Container-title:Acta Neurochirurgica
language:en
Short-container-title:Acta Neurochir

Author:

Molle Z. Krause,Slotty P.,Vesper J.

Abstract

Abstract Background The Twiddler syndrome (TS) describes a situation in which the implanted impulse generator (IPG) rotates several times around its own axis in the subcutaneous pocket. This can lead to severe mechanical damage of the leads and extensions and to dislocations. Method Hereby, we report on a technique for revision surgery in patients diagnosed with Twiddler syndrome after undergoing previous deep brain stimulation (DBS) surgery. For revision surgery, the TYRX ™ Absorbable Antibacterial Envelope was used. Conclusion The TS can be treated well with the envelope TYRX ™ Absorbable Antibacterial Envelope TYRX ™.

Funder

Heinrich-Heine-Universität Düsseldorf

Publisher

Springer Science and Business Media LLC

Subject

Neurology (clinical),Surgery

Link

https://link.springer.com/content/pdf/10.1007/s00701-022-05135-8.pdf

Reference10 articles.

1. Al-Mahfoudh R, Chan Y, Chong HP, Farah JO (2016) Twiddler’s syndrome in spinal cord stimulation. Acta Neurochir (Wien) 158:147–154. https://doi.org/10.1007/s00701-015-2627-x

2. Champagne C, u. a., “Twiddler syndrome without lead dislodgment discovered by remote monitoring”, Case Rep Cardiol, Bd. 2021, Feb. 2021, https://doi.org/10.1155/2021/8816524.

3. Ghanchi H, Taka TM, Bernstein JE, Kashyap S, Ananda AK (2020) “The unsuccessful Twiddler: a case of Twiddler’s syndrome without deep brain stimulator lead breakage.” Cureus 12(4):e7786. https://doi.org/10.7759/cureus.7786

4. Haslam M, Parkman HP, Petrov RV (2020) “Absorbable antibacterial envelope in the surgical management of Twiddler’s syndrome in a patient with gastric electric stimulator: a case report.” Dig Med Res 3:76. https://doi.org/10.21037/dmr-20-70

5. Kawata H, u. a., “Obese female patients have higher rates of lead dislodgement after ICD or CRT-D implantation”, Int J Cardiol, Bd. 172, Nr. 3, S. e522–524, Apr. 2014, https://doi.org/10.1016/j.ijcard.2014.01.076.

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