title: Obsessive compulsive disorder in a patient with twiddler's syndrome.
abstract: 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 2 years. We believe that preimplant psychiatric assessment should be the rule.
authors.affiliation: Department of Psychiatry, Centre Hospitalier Henri Laborit, CIC-INSERM U 802, Université de Poitiers, Poitiers, France. n.jaafari@wanadoo.fr
authors.forename: Nematollah
authors.initials: N
authors.lastname: Jaafari
authors.forename: Marie-Sophie
authors.initials: MS
authors.lastname: Bachollet
authors.forename: Celine
authors.initials: C
authors.lastname: Paillot
authors.forename: Alain
authors.initials: A
authors.lastname: Amiel
authors.forename: Jean-Yves
authors.initials: JY
authors.lastname: Rotge
authors.forename: Nicolas
authors.initials: N
authors.lastname: Lafay
authors.forename: Solene
authors.initials: S
authors.lastname: Quentin
authors.forename: Issa
authors.initials: I
authors.lastname: Wassouf
authors.forename: Vincent
authors.initials: V
authors.lastname: Camus
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Senon
authors.forename: Wissam
authors.initials: W
authors.lastname: El Hage
mesh_terms: D017147:Defibrillators, Implantable / Q000009:adverse effects*; D004567:Electrodes, Implanted / Q000009:adverse effects*; D004868:Equipment Failure; D005548:Foreign-Body Migration / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009771:Obsessive-Compulsive Disorder / Q000150:complications* / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D013577:Syndrome; D016896:Treatment Outcome