title: [Twiddler's syndrome as the cause of pacemaker electrode displacement].
abstract: Twiddler's syndrome is a rare cause of pacemaker electrode displacement. The displacement is caused by the patient's manipulation with the pacemaker, so the electrode is retracted. We describe a case of a 79-year-old overweight woman with a known psychiatric anamnesis, who was admitted twice with twiddler's syndrome. Age and overweight are known risk factors for twiddler's syndrome; and in this case the patient's psychiatric habitus was probably an additional risk factor. Before performing a pacemaker implantation it is important to take the patient's risk factors into account, and thus consider submuscular implantation.
authors.affiliation: Oftalmologisk Afdeling E, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C, Denmark. keeatg@hotmail.com
authors.forename: Keea Treu
authors.initials: KT
authors.lastname: Grønbech
authors.forename: Michael Gilså
authors.initials: MG
authors.lastname: Hansen
mesh_terms: D000368:Aged; D004868:Equipment Failure; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D001523:Mental Disorders / Q000150:complications*; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011859:Radiography; D013577:Syndrome