Surgical management of "Twiddler syndrome" in patients with deep brain stimulation: a technical note and review of the literature.
review · Level V
Where this comes from
- Record sourced from PubMed, PMID 35212800.
- Also identified by DOI 10.1007/s00701-022-05135-8 and PMC identifier 8967733.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
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. 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. The TS can be treated well with the envelope TYRX ™ Absorbable Antibacterial Envelope TYRX ™.
Medical subject headings
- Deep Brain Stimulation