Exploding Head Syndrome: A Case Report

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Ganguly, Gautam ; Mridha, Banshari ; Khan, Asif ; Rison, Richard Alan (2013)
  • Publisher: S. Karger AG
  • Journal: Case Reports in Neurology, volume 5, issue 1, pages 14-17 (issn: 1662-680X, eissn: 1662-680X)
  • Related identifiers: doi: 10.1159/000346595, pmc: PMC3573786
  • Subject: Published online: January, 2013 | Neurology. Diseases of the nervous system | RC346-429 | Exploding head syndrome | Parasomnia | Headache disorder

Introduction: Exploding head syndrome (EHS) is a rare parasomnia in which affected individuals awaken from sleep with the sensation of a loud bang. The etiology is unknown, but other conditions including primary and secondary headache disorders and nocturnal seizures need to be excluded. Case Presentation: A 57-year-old Indian male presented with four separate episodes of awakening from sleep at night after hearing a flashing sound on the right side of his head over the last 2 years. These events were described ‘as if there are explosions in my head’. A neurologic examination, imaging studies, and a polysomnogram ensued, and the results led to the diagnosis of EHS. Conclusion: EHS is a benign, uncommon, predominately nocturnal disorder that is self-limited. No treatment is generally required. Reassurance to the patient is often all that is needed.
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