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Erschienen in: Acta Neurochirurgica 2/2018

25.11.2017 | Case Report - Functional

Manipulating an internal pulse generator until twiddler’s syndrome in a patient treated with deep brain stimulation for obsessive-compulsive disorder

verfasst von: Andrea Franzini, Rebecca Ranieri, Orsola Gambini, Giuseppe Messina

Erschienen in: Acta Neurochirurgica | Ausgabe 2/2018

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Abstract

Background: Twiddler’s syndrome consists of rotation or manipulation of an implantable pulse generator (IPG) in its subcutaneous pocket by a patient, thus causing hardware malfunction. Methods: This syndrome is being reported more frequently in patients treated with deep brain stimulation (DBS). Results: We report the case of a woman who had received bed nucleus of stria terminalis (BNST) electrodes for obsessive-compulsive disorder (OCD) and developed twiddler’s syndrome a few months after surgery, causing hardware malfunction due to obsessive manipulation of the IPG. Conclusion: The patient did not have compulsions related to touching objects at admission, thus making it difficult to foresee and prevent TS.
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Metadaten
Titel
Manipulating an internal pulse generator until twiddler’s syndrome in a patient treated with deep brain stimulation for obsessive-compulsive disorder
verfasst von
Andrea Franzini
Rebecca Ranieri
Orsola Gambini
Giuseppe Messina
Publikationsdatum
25.11.2017
Verlag
Springer Vienna
Erschienen in
Acta Neurochirurgica / Ausgabe 2/2018
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-017-3412-9

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