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Twiddler Syndrome

MedGen UID:
208899
Concept ID:
C0854574
Disease or Syndrome
Synonym: Twiddler's Syndrome

Definition

Dislodgement, breakdown, or other malfunction of an artificial cardiac pacemaker, chemotherapy port, drip infusion valve, or similar implanted diagnostic or therapeutic device as a result of unconscious or habitual manipulation by the patient. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTwiddler Syndrome

Recent clinical studies

Etiology

Willis H, Griffiths JR, Hussain S, Somani R
Acta Cardiol 2023 Aug;78(6):726-727. Epub 2023 Apr 13 doi: 10.1080/00015385.2023.2198936. PMID: 37052383
Bali HK, Chattree KK, Bali SK, Chauhan HK, Shukla CP
Indian Heart J 2013 Dec;65(6):703-4. Epub 2013 Nov 14 doi: 10.1016/j.ihj.2013.10.005. PMID: 24407542Free PMC Article
Trout AT, Larson DB, Mangano FT, Gonsalves CH
Pediatr Radiol 2013 Dec;43(12):1647-51. Epub 2013 Jul 7 doi: 10.1007/s00247-013-2736-8. PMID: 23832019
Gasparini M, Regoli F, Ceriotti C, Gardini E
Circulation 2006 Oct 10;114(15):e534-5. doi: 10.1161/CIRCULATIONAHA.106.626788. PMID: 17030694
Hill PE
Pacing Clin Electrophysiol 1987 May;10(3 Pt 1):564-70. doi: 10.1111/j.1540-8159.1987.tb04521.x. PMID: 2440007

Diagnosis

Molle ZK, Slotty P, Vesper J
Acta Neurochir (Wien) 2022 Apr;164(4):1183-1186. Epub 2022 Feb 25 doi: 10.1007/s00701-022-05135-8. PMID: 35212800Free PMC Article
Sobstyl M, Ząbek M, Górecki W, Brzuszkiewicz-Kuźmicka G
Neurol Neurochir Pol 2015;49(6):467-71. Epub 2015 Oct 24 doi: 10.1016/j.pjnns.2015.10.004. PMID: 26652885
Chaara J, Sunthorn H
J Cardiovasc Electrophysiol 2014 Jun;25(6):659. Epub 2014 Jan 6 doi: 10.1111/jce.12337. PMID: 24303893
Trout AT, Larson DB, Mangano FT, Gonsalves CH
Pediatr Radiol 2013 Dec;43(12):1647-51. Epub 2013 Jul 7 doi: 10.1007/s00247-013-2736-8. PMID: 23832019
Jefferies JL, Kim JJ, Belmont JW, Friedman RA
Tex Heart Inst J 2009;36(4):349-51. PMID: 19693314Free PMC Article

Therapy

Lee WC, Chen YL
Int Heart J 2021 Sep 30;62(5):1156-1159. Epub 2021 Sep 17 doi: 10.1536/ihj.21-019. PMID: 34544971
Zygowiec CJ, Pham JT, Smithgall S
J Am Osteopath Assoc 2017 May 1;117(5):339. doi: 10.7556/jaoa.2017.066. PMID: 28459487
Sobstyl M, Ząbek M, Górecki W, Brzuszkiewicz-Kuźmicka G
Neurol Neurochir Pol 2015;49(6):467-71. Epub 2015 Oct 24 doi: 10.1016/j.pjnns.2015.10.004. PMID: 26652885
Jefferies JL, Kim JJ, Belmont JW, Friedman RA
Tex Heart Inst J 2009;36(4):349-51. PMID: 19693314Free PMC Article
Cardoso AF, Almeida GM
Arq Bras Cardiol 2008 Feb;90(2):e15. doi: 10.1590/s0066-782x2008000200016. PMID: 18392375

Prognosis

Sobstyl M, Ząbek M, Górecki W, Brzuszkiewicz-Kuźmicka G
Neurol Neurochir Pol 2015;49(6):467-71. Epub 2015 Oct 24 doi: 10.1016/j.pjnns.2015.10.004. PMID: 26652885
Bali HK, Chattree KK, Bali SK, Chauhan HK, Shukla CP
Indian Heart J 2013 Dec;65(6):703-4. Epub 2013 Nov 14 doi: 10.1016/j.ihj.2013.10.005. PMID: 24407542Free PMC Article
Gupta A, Zegel HG, Dravid VS, Nierenberg SJ, Freiman DB
AJR Am J Roentgenol 1997 Jan;168(1):105-8. doi: 10.2214/ajr.168.1.8976930. PMID: 8976930

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