Key result
A 70-year-old female patient with a pacemaker presented with syncope and was diagnosed with Twiddler's syndrome due to pacemaker manipulation, which was successfully treated with a new lead.
Case Report (n=1)
Twiddler's syndrome is a rare but serious complication of pacemaker implantation that can present with syncope mimicking neurological disease, highlighting the importance of device interrogation and chest X-ray in the diagnostic workup.
Raises awareness for Twiddler's syndrome in paced patients with syncope; case reports leave prevention and management strategies open.
Twiddler's syndrome is a rare complication after pacemaker implantation usually caused by patient manipulation with generator. We describe a case of 70-year-old female patient with pacemaker who was admitted to the neurological clinic with syncope and suspicion for neurological disease. After neurological diagnostic tests that were negative and consultation with a cardiologist, Twiddler's syndrome was diagnosed.
No takes yet. Share an insight, caveat, or question.
Tahirović et al. (2018) conducted a case report in Twiddler's syndrome (n=1). Pacemaker manipulation (Twiddler's syndrome) was evaluated on Diagnosis and treatment of pacemaker malfunction. A 70-year-old female patient with a pacemaker presented with syncope and was diagnosed with Twiddler's syndrome due to pacemaker manipulation, which was successfully treated with a new lead.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: