Twiddler综合征是一种罕见的实体,其中患者操纵会导致引线脱位并导致引线缩回。Reel综合征,另一方面,在外部操纵后观察到,有意或无意,其中引线沿其横轴移动,被认为是Twiddler综合征的变体。我们介绍了一名91岁女性的临床病例,起搏器植入后,不断操作起搏器后出现头晕和胸部不适,导致引线尖端完全缩回到袋子中,这在迄今为止的文献中是不寻常的。
Twiddler syndrome is a rare entity in which patient manipulation causes lead dislocation with lead retraction. Reel syndrome, on the other hand, is observed after external manipulation, intentional or unintentional, in which the leads move along their transverse axis and is considered a variant of Twiddler syndrome. We present the clinical case of a 91-year-old female who, after pacemaker implantation, presented with dizziness and chest discomfort following constant manipulation of the pacemaker, resulting in complete retraction of the lead tip into the pouch, which is unusual in the literature to date.