Abstract
INTRODUCTION: Voluntary or unvoluntarymanipulation of a implanted pulse generator can lead tomigration of the transducerwires and permanent malfunction of the device. This socalled Twiddler’s syndrome has been described for pacemakers, implantable cardioverter-defibrillators and deep brain stimulators. Twiddler’s syndrome can be expected at any subcutaneously implanted device accessible for patient manipulations. We report 2 cases, one treated with a spinal cord stimulator and the other with an implantable intrathecal infusion pump, presenting with Twiddler’s syndrome.
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