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Exploding head syndrome: new observations
1College of Medicine, University of Iowa, Iowa City, Iowa, USA.
Insights
Exploding head syndrome (EHS) may be linked to sick sinus syndrome. A patient
Area of Science:
- Neurology
- Cardiology
- Sleep Medicine
Background:
- The causes of exploding head syndrome (EHS) are poorly understood.
- Current management strategies for EHS are unknown.
Purpose of the Study:
- To explore the potential etiology and management of exploding head syndrome (EHS).
Main Methods:
- This study presents a personal observational case report of EHS.
- The patient's experience with concurrent cardiac events is detailed.
Main Results:
- The patient experienced recurrent transient cardiac arrests due to sick sinus syndrome during EHS episodes.
- Cardiac pacemaker implantation led to the immediate and permanent resolution of both cardiac arrests and EHS.
Conclusions:
- A potential association between exploding head syndrome and sick sinus syndrome is suggested.
- This case highlights a novel finding not previously reported in medical literature.
Background And Purpose:
The etiology of 'exploding head syndrome' (EHS) is currently highly controversial and its management is unknown. The object was to explore these.
Methods:
This observational study describes my personal experience of EHS and discusses its implications.
Results:
I experienced, while suffering from EHS, recurrent episodes of transient cardiac arrests due to sick sinus syndrome. Implantation of a cardiac pacemaker resulted in immediate, dramatic, permanent cessation of both cardiac arrest episodes and EHS. This has not been reported previously.
Conclusions:
This striking temporal relationship indicates a possible association between EHS and sick sinus syndrome.
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