Twiddler's syndrome after dorsal root ganglion stimulation: A case report
Maarten Vanloon,
Vincent Raymaekers,
Sacha Meeuws,
Mark Plazier
Affiliations
Maarten Vanloon
Faculty of Health, Medicine and Life Sciences, Maastricht University, the Netherlands
Vincent Raymaekers
Department of Neurosurgery, University Hospitals Antwerp, Belgium; Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Faculty of Medicine and Life Science, Hasselt University, Hasselt, Belgium
Sacha Meeuws
Department of Neurosurgery, Jessa Hospital, Hasselt, Belgium; Study and Educational Center for Neurosurgery, Virga Jesse, Hasselt, Belgium
Mark Plazier
Faculty of Medicine and Life Science, Hasselt University, Hasselt, Belgium; Department of Neurosurgery, Jessa Hospital, Hasselt, Belgium; Study and Educational Center for Neurosurgery, Virga Jesse, Hasselt, Belgium
Dorsal root ganglion stimulation (DRG-S) is a promising therapy for chronic neuropathic pain, but complications of this therapy are poorly understood. Twiddler's syndrome, a rare complication characterized by lead displacement and coiling of wires, has been reported in other neuromodulation devices, but has not been described in the context of DRG-S. Here, we present a first-of-a-kind case report of Twiddler's syndrome occurring after 8 months of DRG-S. This case report highlights the importance of considering Twiddler's syndrome as a potential complication in patients undergoing DRG-S, especially in those with significant weight loss history.
