4.5 Article

Twiddler's syndrome after dorsal root ganglion stimulation: A case report

Journal

HELIYON
Volume 9, Issue 8, Pages -

Publisher

CELL PRESS
DOI: 10.1016/j.heliyon.2023.e18365

Keywords

Dorsal root ganglion stimulation; Neurostimulation; Twiddler; Complications

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Dorsal root ganglion stimulation (DRG-S) is a promising therapy for chronic neuropathic pain, but its complications are not well understood. This case report presents the first-of-a-kind occurrence of Twiddler's syndrome, a rare complication characterized by lead displacement and coiling of wires, after 8 months of DRG-S. It highlights the importance of considering Twiddler's syndrome as a potential complication in patients undergoing DRG-S, especially those with significant weight loss history.
Dorsal root ganglion stimulation (DRG-S) is a promising therapy for chronic neuropathic pain, but complications of this therapy are poorly understood. Twiddler's syndrome, a rare complication characterized by lead displacement and coiling of wires, has been reported in other neuromodulation devices, but has not been described in the context of DRG-S. Here, we present a firstof-a-kind case report of Twiddler's syndrome occurring after 8 months of DRG-S. This case report highlights the importance of considering Twiddler's syndrome as a potential complication in patients undergoing DRG-S, especially in those with significant weight loss history.

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