Abstract
Purpose of Review
To explain our current understanding of exploding head syndrome (EHS), an unusual and underreported sensory parasomnia.
Recent Findings
Based on findings from recent studies of EHS, the prevalence is higher than previously suggested by the literature, which historically has consisted mostly of case reports. The typical presentation also has been better illustrated by recent case series, and diagnostic criteria have been defined. Its pathophysiology is still unclear.
Summary
EHS is underrecognized and its symptoms are alarming, but a review of our current state of knowledge will allow physicians to make a diagnosis of this benign condition with greater confidence.
Similar content being viewed by others
References
Papers of particular interest, published recently, have been highlighted as: • Of importance•• Of major Importance
Pearce JMS. Exploding head syndrome. Lancet. 1988;332(8605):270–1.
Mitchell SW. Some disorders of sleep. Am J Med Sci. 1890;100:109–27.
Goadsby PJ, Sharpless BA. Exploding head syndrome, snapping of the brain or episodic cranial sensory shock? J Neurol Neurosurg Psychiatry. 2016;87:1259–60.
Otaiku AI. Did Rene Descartes have exploding head syndrome? J Clin Sleep Med. 2018;14(4):675–8.
• American Academy of Sleep Medicine. International classification of sleep disorders. 3rd ed. Darien: American Academy of Sleep Medicine; 2014. Diagnostic criteria for EHS.
•• Sharpless BA. Characteristic symptoms and associated features of exploding head syndrome in undergraduates. Cephalgia. 2018;38(3):595–9. A cross-sectional study of students with EHS.
• Pearce JMS. Clinical features of the exploding head syndrome. J Neurol Neurosurg Psychiatry. 1989;52:907–10. First in-depth description of EHS with fifty reported cases.
Evans RW. Exploding head syndrome followed by sleep paralysis: a rare migraine aura. Headache. 2004;46:682–3.
Sharpless BA. Exploding head syndrome is common in college students. J Sleep Res. 2015;24:447–9.
Irfan M, Schenck CH. Sleep-related orgasms in a 57-year-old woman: a case report. J Clin Sleep Med. 2018;14(1):141–4.
•• Frese A, Summ O, Evers S. Exploding head syndrome: six new cases and review of the literature. Cephalgia. 2014;34(10):823–7. A review of all cases reported in the literature through 2014.
Jacome DE. Exploding head syndrome and idiopathic stabbing headache relieved by nifedipine. Cephalgia. 2001;21:617–8.
Kallweit U, Khatami R, Bassetti CL. Exploding head syndrome: more than “snapping of the brain”? Sleep Med. 2008;9:589.
Fulda S, Hornyak M, Muller K, Cerny L, Beitinger PA, Wetter TC. Development and validation of the Munich Parasomnia Screening (MUPS): a questionnaire for parasomnias and nocturnal behaviors. Somnologie. 2008;12:56–65.
Green MW. The exploding head syndrome. Curr Pain Headache Rep. 2001;5:279–80.
Evans RW. Case studies of uncommon headaches. Neurol Clin. 2006;24:347–62.
Goadsby PJ. Unique migraine subtypes, rare headache disorders, and other disturbances. Continuum. 2015;21(4):1032–40.
Sharpless BA. Exploding head syndrome. Sleep Med Rev. 2014;18:489–93.
Feketeova E, Buskova J, Skorvanek M, Mudra J, Gdovinova Z. Exploding head syndrome: a rare parasomnia or a dissociative episode? Sleep Med. 2014;15:728–30.
Salih F, Klingbiel R, Zschenderlein R, Grosse P. Acoustic sleep starts with sleep-onset insomnia related to a brainstem lesion. Neurol. 2008;70:1935–7.
Evans RW, Pearce JMS. Exploding head syndrome. Headache. 2001;41:602–3.
Ganguly G, Mridha B, Khan A, Rison RA. Exploding head syndrome: a case report. Case Rep Neurol. 2013;5:14–7.
Palikh GM, Vaughn BV. Topiramate responsive exploding head syndrome. J Clin Sleep Med. 2010;6(4):382–3.
Sachs C, Svanborg E. The exploding head syndrome: polysomnographic recordings and therapeutic suggestions. Sleep. 1991;14(3):263–6.
Gillis K, Ng MC. Exploding head syndrome in the epilepsy monitoring unit: case report and literature review. Neurodiagn J. 2017;57(2):133–8.
Chakravarty A. Exploding head syndrome: report of two new cases. Cephalgia. 2007;28:399–400.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of Interest
Claire Ceriani declares no conflict of interest. Dr. Nahas reports personal fees from Allergan, Amgen, electroCore, Ely Lilly, Avanir, and Supernus, all outside of the submitted work.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
Additional information
This article is part of the Topical Collection on Episodic Migraine
Rights and permissions
About this article
Cite this article
Ceriani, C.E.J., Nahas, S.J. Exploding Head Syndrome: a Review. Curr Pain Headache Rep 22, 63 (2018). https://doi.org/10.1007/s11916-018-0717-1
Published:
DOI: https://doi.org/10.1007/s11916-018-0717-1