A Case in which Generator and Leads Seemed to Rotate as in Twiddler’s Syndrome

Abstract

Twiddler’s syndrome is a relatively rare complication after pacemaker implantation in which rotation of the pacemaker body results in displacement of the body and the lead, causing the pacemaker to malfunction. In this case report we present an 88-year-old female with dementia who developed Twiddler’s syndrome-like body and lead malposition after pacemaker implantation, but the pacemaker did not malfunction and required lead detachment because the lead was positioned in front of the body at the time of pacemaker battery replacement surgery.