Abstract

Hind Filali*, Samia Laklalech, Amal Hssain, Ibtissam Fellat and Mohammed Cherti

ABSTRACT

Twiddler syndrome is secondary to deliberate or involuntary manipulation of the box by the patient. The axis of rotation is sagittal, causing winding, damage and displacement of the leads. This is a descriptive retrospective study of a series of 3 cases of Twiddler syndrome and its variants. Carried out over a period of 2 years and 5 months, within the cardiology department B, in order to specify the predictive factors, the time to onset, the means of diagnosis as well as the therapeutic modalities of these syndromes. The treatment includes fixation of the box with replacement of the leads in Twiddler syndrome and repositioning in Reel syndrome. Twiddler syndrome and its variants are rare but potentially lethal mechanical complications of implanted cardiac pacemakers and defibrillators. Educating the patient on the importance of never handling the box remains the best method of prevention.