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Obsessive Compulsive Disorder in a Patient with Twiddler's Syndrome
Author(s) -
JAAFARI NEMATOLLAH,
BACHOLLET MARIESOPHIE,
PAILLOT CELINE,
AMIEL ALAIN,
ROTGE JEANYVES,
LAFAY NICOLAS,
QUENTIN SOLENE,
WASSOUF ISSA,
CAMUS VINCENT,
SE JEANLOUIS,
HAGE WISSAM EL
Publication year - 2009
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.2008.02251.x
Subject(s) - medicine , obsessive compulsive , implantable cardioverter defibrillator , intervention (counseling) , psychiatry , cardiology
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.