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

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...

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Autores principales: Molle, Z. Krause, Slotty, P., Vesper, J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2022
Materias:
How I Do it - Functional Neurosurgery - Other
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967733/
https://www.ncbi.nlm.nih.gov/pubmed/35212800
http://dx.doi.org/10.1007/s00701-022-05135-8
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author Molle, Z. Krause
Slotty, P.
Vesper, J.
author_facet Molle, Z. Krause
Slotty, P.
Vesper, J.
author_sort Molle, Z. Krause
collection PubMed
description 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 ™. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-022-05135-8.
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spelling pubmed-89677332022-04-07 Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature Molle, Z. Krause Slotty, P. Vesper, J. Acta Neurochir (Wien) How I Do it - Functional Neurosurgery - Other 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 ™. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00701-022-05135-8. Springer Vienna 2022-02-25 2022 /pmc/articles/PMC8967733/ /pubmed/35212800 http://dx.doi.org/10.1007/s00701-022-05135-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle How I Do it - Functional Neurosurgery - Other
Molle, Z. Krause
Slotty, P.
Vesper, J.
Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature
title Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature
title_full Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature
title_fullStr Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature
title_full_unstemmed Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature
title_short Surgical management of “Twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature
title_sort surgical management of “twiddler syndrome” in patients with deep brain stimulation: a technical note and review of the literature
topic How I Do it - Functional Neurosurgery - Other
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8967733/
https://www.ncbi.nlm.nih.gov/pubmed/35212800
http://dx.doi.org/10.1007/s00701-022-05135-8
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