Twiddler's Syndrome: a Rare Complication of Pacemakers

Vitorino Modesto dos Santos 1 * , Kin Modesto Sugai 2, Rafael Campos Nunes 3
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1 Department of Medicine, Catholic University, Brasilia-DF, Brazil
2 Postgraduate Course of Management, Technology, and Information Security, University of Brasilia, Brasilia-DF, Brazil
3 Computer Science BSc Undergraduate at the University of Brasilia, Brasilia-DF, Brazil
* Corresponding Author
J CLIN MED KAZ, Volume 22, Issue 4, pp. 4-5. https://doi.org/10.23950/jcmk/16740
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Authors’ Contributions: Conceptualization, V. M. S, K. M. S., R. C. N.; investigation, V. M. S, K. M. S., R. C. N.; verification, V. M. S, K. M. S., R. C. N.; writing – original draft preparation, V. M. S, K. M. S., R. C. N.; writing – review and editing, V. M. S. The authors have read and agreed to the published version of the manuscript.

Data availability statement: Not applicable.

ABSTRACT

Twiddler’s syndrome is a rare severe entity first described in 1968 related to transvenous pacemaker placement, involving the pulse generator in a subcutaneous pocket, and the coiling, displacement, or fracture of the leads causing stimulation failure and symptoms recurrence needing immediate revision. Major risk factors for the loss of pacemaker function include bad generator fixation, manipulation, psychiatric disorder, obesity, advanced age, and an oversized pocket. The objective is to emphasize the recent case studies published in this Journal.
 
Keywords: deep brain stimulation, movement disorders, Twiddler’s syndrome

CITATION

dos Santos VM, Sugai KM, Nunes RC. Twiddler's Syndrome: a Rare Complication of Pacemakers. J CLIN MED KAZ. 2025;22(4):4-5. https://doi.org/10.23950/jcmk/16740

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