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    Area of Science:

    • Neurology
    • Psychiatry

    Background:

    • Sacral nerve stimulation is a treatment for conditions like dysfunctional voiding.
    • Psychotic symptoms associated with surgical implants are rarely reported.

    Observation:

    • A 64-year-old female developed paranoid delusions after sacral nerve stimulator implantation for dysfunctional voiding.
    • The patient believed the implant wires were growing and controlling her thoughts and vision.
    • Delusions emerged during a period of grief and anxiety following her mother's death.

    Findings:

    • The patient's delusions gradually resolved with supportive care as she processed her grief.
    • No emergent removal of the sacral nerve stimulator was required.
    • This case suggests a potential underestimation of the association between surgical implants and delusional symptoms.

    Implications:

    • Healthcare providers should consider psychological evaluation for patients experiencing new-onset delusions after surgical implants.
    • Further research is needed to understand the prevalence and mechanisms of psychotic symptoms linked to medical devices.
    • This case highlights the importance of considering psychological factors in patients with medical implants.