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Single Patient Multiple Explosions: A Case Report on Exploding Head Syndrome.

Wasef Alkhateeb1, Abhinaya Krishnaraj1, Vishal Saini1

  • 1Department of Internal Medicine, Central Michigan University College of Medicine, Saginaw, USA.

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|October 4, 2023
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Summary
This summary is machine-generated.

Exploding head syndrome (EHS), a rare sleep disorder, involves loud noises during sleep transitions. This case report highlights symptom variability and suggests patient education may resolve EHS.

Keywords:
exploding head syndromeloud noiseparasomniasleep disordersleep medicine

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Area of Science:

  • Neurology
  • Sleep Medicine
  • Parasomnias

Background:

  • Exploding head syndrome (EHS) is an uncommon parasomnia characterized by loud noises during sleep transitions.
  • It is often underreported and can cause significant distress due to fright, despite lacking associated pain.

Observation:

  • A case of a 58-year-old female experiencing 11 distinct episodes of EHS at bedtime is presented.
  • The patient's EHS events exhibited variability in noise description, pattern, and associated jerk movements.
  • Diagnostic workup was negative, supporting a diagnosis of EHS.

Findings:

  • Despite a diagnosis of obstructive sleep apnea and non-adherence to CPAP therapy, the patient experienced complete resolution of EHS symptoms.
  • The case illustrates that a single patient can present with diverse EHS features, including variations in auditory phenomena and motor activity.

Implications:

  • This report underscores the variability in EHS presentation within a single individual.
  • It suggests that patient education and reassurance may be effective non-pharmacological interventions for managing EHS.
  • Further research into the underreported phenomenon of EHS is warranted.