Roth Ted M
Central Maine Urogynecology, Central Maine Medical Center, Lewiston, ME.
Urology. 2018 Jun;116:e1-e2. doi: 10.1016/j.urology.2018.03.011. Epub 2018 Mar 21.
Twiddler's syndrome is the deliberate, inadvertent, or subconscious manipulation of an implantable generator within its subcutaneous pocket that can lead to malposition and fracture of the associated lead. The syndrome is well recognized in patients with pacemakers, implantable cardioverter defibrillators, deep brain stimulators, and more recently in intrathecal drug delivery devices. Here we present an instance of Twiddler's syndrome after sacral neuromodulation.
旋弄综合征是指在皮下囊袋内对植入式发生器进行有意、无意或下意识的操作，这可能导致相关导线发生移位和断裂。该综合征在起搏器、植入式心脏复律除颤器、深部脑刺激器患者中已广为人知，最近在鞘内药物输送装置患者中也有发现。在此，我们报告一例骶神经调节术后发生旋弄综合征的病例。
