Involuntary arm movements post-pacemaker insertion - real or Reel syndrome?
Hannah Willis1, Jack R Griffiths1, Shahana Hussain1
1Department of Cardiology, Glenfield Hospital, Leicester, UK.
Acta Cardiologica
|April 13, 2023
Summary
Reel syndrome, a variant of Twiddler syndrome, can cause rhythmic arm twitching after pacemaker implantation due to lead displacement. Early identification of at-risk patients is crucial for preventing this rare complication.
Area of Science:
- Cardiology
- Medical Devices
- Neurology
Background:
- Twiddler syndrome and its variant, Reel syndrome, are uncommon but significant complications following pacemaker implantation.
- These syndromes involve mechanical manipulation of the pacemaker or lead, leading to device dysfunction or related issues.
Purpose of the Study:
- To report a rare case of Reel syndrome presenting as rhythmic arm twitching.
- To highlight the mechanism of brachial plexus stimulation by a displaced pacemaker lead.
Main Methods:
- Case report describing a patient with pacemaker implantation.
- Clinical observation and analysis of lead displacement and neurological symptoms.
Main Results:
- A displaced pacemaker lead caused brachial plexus stimulation, resulting in rhythmic arm twitching.
- This presentation is a rare manifestation of Reel syndrome.
Conclusions:
- Reel syndrome can manifest with unusual neurological symptoms like arm twitching.
- Holistic planning and patient education are vital for managing pacemaker complications, especially in the elderly.
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