Something that touches your heart: an unusual case of abdominal clonic movements

Valentina Fioravanti, Igor Lamberti, Nicola Bottoni, Francesco Cavallieri, Franco Valzania, Matteo Pugnaghi

Research output: Contribution to journalArticlepeer-review


Background: Rarely, cardiac pacemaker implant can lead to the development of involuntary hyperkinetic movement disorders localized to the abdominal wall or the diaphragm. Phenomenology Shown: We report a case of a 79-year-old female who developed rhythmic continuous clonic right abdominal movements caused by cardiac pacemaker lead dislodgement. Educational Value: Our case highlights that, in the differential diagnosis of hyperkinetic abdominal movement disorder, the presence and the possible pathogenic role of a cardiac pacemaker should be kept in mind.

Original languageEnglish
JournalTremor and Other Hyperkinetic Movements
Publication statusPublished - Jan 1 2019


  • Abdominal
  • Diaphragmatic
  • Myoclonus
  • Pacemaker
  • Twiddler’s syndrome

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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