Exploding head syndrome: Six new cases and review of the literature

Exploding head syndrome: Six new cases and review of the literature
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DOI:
10.1177/0333102414536059
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发表时间:
2014-09-01
期刊:
影响因子:
4.9
通讯作者:
Evers, Stefan
Evers, Stefan
中科院分区:
医学2区
文献类型:
--
作者:
Frese, Achim;Summ, Oliver;Evers, Stefan

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背景:爆炸头综合征(EHS)的特征是在从唤醒到睡眠或从睡眠到唤醒的过渡期间发生的突然噪音或爆炸感觉的攻击。综合征。我们还从科学文献中审查了所有可用案例,并评估了EHS的典型特征:雌性与男性比例为1.5至1。发病时代的中位年龄为54。发生。一些患者每晚遭受几次攻击。在所有患者中,大约一半可以观察到慢性时间病程,但是偶发或零星的发生也很常见。噪音旁边最常见的伴随症状是恐惧和光线闪烁。多摄影学研究并未揭示与EHS相关的任何特定睡眠模式。三环抗抑郁药对某些患者有帮助。但是,由于综合征的良性性质,大多数患者不需要治疗。判断:EHS是一个定义明确的疾病实体,具有良性的性质。
Background: Exploding head syndrome (EHS) is characterized by attacks of a sudden noise or explosive feeling experienced in the head occurring during the transition from wake to sleep or from sleep to wake.Methods: We present six new cases extending the clinical experience with the syndrome. We also reviewed all available cases from the scientific literature and evaluated the typical features of EHS.Results: The female to male ratio is 1.5 to 1. The median age at onset is 54. In average, one attack per day to one attack per week occurs. Some patients suffer from several attacks per night. In about half of all patients, a chronic time course can be observed but episodic or sporadic occurrence is also common. The most frequent accompanying symptoms beside the noise are fear and flashes of light. Polysomnographic studies do not reveal any specific sleep pattern associated with EHS. Tricyclic antidepressants are helpful in some patients. However, most patients do not need treatment because of the benign nature of the syndrome.Conclusion: EHS is a well-defined disease entity with a benign nature.