Obsessive Compulsive Disorder in a Patient with Twiddler's Syndrome

Nematollah Jaafari (1) , Marie-Sophie S Bachollet , Celine Paillot , Alain Amiel , Nicolas Lafay , Solene Quentin , Louis Tandonnet , Wissam El-Hage (2) , Jean-Louis Senon (1)

1 Unité de recherche clinique intersectorielle du Centre Hospitalier Henri Laborit
2 iBrain - Inserm U1253 - UNIV Tours - Imagerie et cerveau

Twiddler's or Twist syndrome is the twisting of pulse generators around themselves. It may result from mechanical manipulation that can induce the malfunction of the device. In this case, twiddler's syndrome resulted from compulsive checking of the device. The implantable cardioverter-defibrillator (ICD) triggered the development of an obsessive compulsive disorder (OCD). Two invasive procedures were required to replace the ICD. Psychiatric intervention prevented the recurrence of twiddler's syndrome in this patient for more than two years. We believe that pre-implant psychiatric assessment should be the rule. Twiddler's syndrome, obsessive compulsive disorder, anxiety

Domains: Life Sciences [q-bio]; Human health and pathology; Psychiatrics and mental health

Nematollah Jaafari, Marie-Sophie S Bachollet, Celine Paillot, Alain Amiel, Nicolas Lafay, et al.. Obsessive Compulsive Disorder in a Patient with Twiddler's Syndrome. PACE - Pacing and Clinical Electrophysiology, 2009, 32 (3), pp.399-402. ⟨10.1111/j.1540-8159.2008.02251.x⟩. ⟨hal-02526556⟩