Woman With Syncope

Frizell, Alison W.; MacVane, Casey Z.

doi:10.1016/j.annemergmed.2014.08.013

Search citation statements

Order By: Relevance

Paper Sections

Select...

Annals Case1

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2015

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

(1 citation statement)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the patient was noted by nursing to be frequently touching her incision." 1 Riddle me this: have you heard of twiddler's syndrome? Does it have to do with Twizzlers?…”

Section: Annals Casementioning

confidence: 99%

Twiddle Me This! A Look at Twiddler’s Syndrome

Shoenberger

Jhun

Bright

et al. 2015

Annals of Emergency Medicine

View full text Add to dashboard Cite

“…However, the patient was noted by nursing to be frequently touching her incision." 1 Riddle me this: have you heard of twiddler's syndrome? Does it have to do with Twizzlers?…”

Section: Annals Casementioning

confidence: 99%

Twiddle Me This! A Look at Twiddler’s Syndrome

Shoenberger

Jhun

Bright

et al. 2015

Annals of Emergency Medicine

View full text Add to dashboard Cite

Twiddler’s syndrome in spinal cord stimulation

et al. 2015

View full text Add to dashboard Cite

BackgroundThe aims are to present a case series of Twiddler’s syndrome in spinal cord stimulators with analysis of the possible mechanism of this syndrome and discuss how this phenomenon can be prevented.MethodData were collected retrospectively between 2007 and 2013 for all patients presenting with failure of spinal cord stimulators. The diagnostic criterion for Twiddler’s syndrome is radiological evidence of twisting of wires in the presence of failure of spinal cord stimulation.ResultsOur unit implants on average 110 spinal cord stimulators a year. Over the 5-year study period, all consecutive cases of spinal cord stimulation failure were studied. Three patients with Twiddler’s syndrome were identified. Presentation ranged from 4 to 228 weeks after implantation. Imaging revealed repeated rotations and twisting of the wires of the spinal cord stimulators leading to hardware failure.ConclusionsTo the best of our knowledge this is the first reported series of Twiddler’s syndrome with implantable pulse generators (IPGs) for spinal cord stimulation. Hardware failure is not uncommon in spinal cord stimulation. Awareness and identification of Twiddler’s syndrome may help prevent its occurrence and further revisions. This may be achieved by implanting the IPG in the lumbar region subcutaneously above the belt line. Psychological intervention may have a preventative role for those who are deemed at high risk of Twiddler’s syndrome from initial psychological screening.

show abstract

Woman With Syncope

Cited by 2 publications

References 4 publications

Twiddle Me This! A Look at Twiddler’s Syndrome

Twiddle Me This! A Look at Twiddler’s Syndrome

Twiddler’s syndrome in spinal cord stimulation

Contact Info

Product

Resources

About