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Twiddler's Syndrome of a Deep Brain Stimulator

Twiddler's Syndrome of a Deep Brain Stimulator▶ Watch on YouTube — age-restricted, cannot embed here

Imaging findings

A deep brain stimulator generator and electrodes were seen, with a fracture of the stimulator wire and distinctive 'braiding' or coiling of the wire around the generator in the subcutaneous pocket.

Key takeaways

Twiddler's syndrome, where patients consciously or unconsciously manipulate the generator, causing coiling and fracture of leads, can occur with deep brain stimulators, particularly in patients with movement disorders like Parkinson's disease.

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