The Experts below are selected from a list of 219 Experts worldwide ranked by ideXlab platform
Peter J. Goadsby - One of the best experts on this subject based on the ideXlab platform.
-
Exploding Head Syndrome (a.k.a. Episodic Cranial Sensory Shock) responds to single‐pulse TMS
European journal of neurology, 2021Co-Authors: Francesca Puledda, David Moreno-ajona, Peter J. GoadsbyAbstract:We present the case of a patient with a sleep disturbance attributed to the Exploding Head Syndrome, recently redefined as episodic cranial sensory shock. The patient, who suffered with concomitant migraine, was treated for Headache prevention with daily single-pulse transcranial magnetic stimulation (sTMS). Following treatment, he reported a significant reduction in the episodes of Exploding Head Syndrome, albeit not of his migraine. Neurologists could consider sTMS in the management of patients troubled by episodic cranial sensory shock, as it is a safe and noninvasive treatment that might provide benefit for this benign but occasionally bothersome parasomnia.
-
Exploding Head Syndrome a k a episodic cranial sensory shock responds to single pulse tms
European Journal of Neurology, 2021Co-Authors: Francesca Puledda, Peter J. Goadsby, David MorenoajonaAbstract:We present the case of a patient with a sleep disturbance attributed to the Exploding Head Syndrome, recently redefined as episodic cranial sensory shock. The patient, who suffered with concomitant migraine, was treated for Headache prevention with daily single-pulse transcranial magnetic stimulation (sTMS). Following treatment, he reported a significant reduction in the episodes of Exploding Head Syndrome, albeit not of his migraine. Neurologists could consider sTMS in the management of patients troubled by episodic cranial sensory shock, as it is a safe and noninvasive treatment that might provide benefit for this benign but occasionally bothersome parasomnia.
-
Exploding Head Syndrome, snapping of the brain or episodic cranial sensory shock?
Journal of neurology neurosurgery and psychiatry, 2016Co-Authors: Peter J. Goadsby, Brian A. SharplessAbstract:To the Editor, Recently, while writing our respective reviews on what has been called Exploding Head Syndrome (EHS),1 ,2 it became apparent that citation ordering in the condition may have snapped at an early stage. We write with an illustrative case as a clinical entree to set the bibliographic record straight. For background, EHS is a paroxysmal sensory parasomnia not associated with significant pain. The typical phenomenology of EHS can be briefly captured in the case of a patient recently seen by the first author. Case: A 60-year-old man reported of a sudden sensation of …
Francesca Puledda - One of the best experts on this subject based on the ideXlab platform.
-
Exploding Head Syndrome (a.k.a. Episodic Cranial Sensory Shock) responds to single‐pulse TMS
European journal of neurology, 2021Co-Authors: Francesca Puledda, David Moreno-ajona, Peter J. GoadsbyAbstract:We present the case of a patient with a sleep disturbance attributed to the Exploding Head Syndrome, recently redefined as episodic cranial sensory shock. The patient, who suffered with concomitant migraine, was treated for Headache prevention with daily single-pulse transcranial magnetic stimulation (sTMS). Following treatment, he reported a significant reduction in the episodes of Exploding Head Syndrome, albeit not of his migraine. Neurologists could consider sTMS in the management of patients troubled by episodic cranial sensory shock, as it is a safe and noninvasive treatment that might provide benefit for this benign but occasionally bothersome parasomnia.
-
Exploding Head Syndrome a k a episodic cranial sensory shock responds to single pulse tms
European Journal of Neurology, 2021Co-Authors: Francesca Puledda, Peter J. Goadsby, David MorenoajonaAbstract:We present the case of a patient with a sleep disturbance attributed to the Exploding Head Syndrome, recently redefined as episodic cranial sensory shock. The patient, who suffered with concomitant migraine, was treated for Headache prevention with daily single-pulse transcranial magnetic stimulation (sTMS). Following treatment, he reported a significant reduction in the episodes of Exploding Head Syndrome, albeit not of his migraine. Neurologists could consider sTMS in the management of patients troubled by episodic cranial sensory shock, as it is a safe and noninvasive treatment that might provide benefit for this benign but occasionally bothersome parasomnia.
Dan Denis - One of the best experts on this subject based on the ideXlab platform.
-
associations between Exploding Head Syndrome and measures of sleep quality and experiences dissociation and well being
Sleep, 2019Co-Authors: Dan Denis, Giulia L Poerio, Sarah Derveeuw, Isabella Badini, Alice M GregoryAbstract:Exploding Head Syndrome is a sensory parasomnia characterized by the perception of loud noises and/or a sense of explosion in the Head that occurs when transitioning to or from sleep. Despite receiving little attention from both researchers and clinicians, studies suggest approximately 10-15% of individuals have episodes, with significant levels of fear occurring in a subset of cases. Using two independent samples, we examine sleep and well-being variables associated with Exploding Head Syndrome. We focused on insomnia symptoms, life stress, anxiety and depression symptoms, and sleep experiences such as sleep paralysis as potential factors associated with Exploding Head Syndrome. Study 1 consisted of 199 female undergraduate students. We found a lifetime prevalence of 37.19%, with 6.54% experiencing at least one episode a month. All variables were associated with Exploding Head Syndrome in univariate analyses, but only insomnia symptoms and sleep paralysis frequency were significantly associated with Exploding Head Syndrome in multiple logistic regression models. Study 2 was an international sample of 1683 participants (age range 18-82, 53.00% female). Lifetime prevalence was 29.59%, with monthly episodes occurring in 3.89% of participants. The same set of variables were investigated as in Study 1, with dissociative experiences during wakefulness and a larger range of sleep experiences also included. Study 2 replicated the results of Study 1. In addition, dissociative experiences during wakefulness and other sleep experiences such as nightmares were associated with Exploding Head Syndrome in multiple logistic regression models. These studies provide valuable first insights into variables associated with Exploding Head Syndrome.
-
Relationships between sleep paralysis and sleep quality: current insights.
Nature and science of sleep, 2018Co-Authors: Dan DenisAbstract:Sleep paralysis is the unusual experience of waking up in the night without the ability to move. Currently little is known about the experience, despite the fact that the vast majority of episodes are associated with extreme fear and in a minority of cases can lead to clinically significant levels of distress. The aim of this work was to review the existing literature pertaining to the relationship sleep paralysis has to sleep more generally, measured both with subjective questionnaires and objective laboratory recordings. In terms of subjective sleep variables, worse sleep quality has been found in multiple studies to be associated with increased odds of sleep paralysis occurrence. In addition, insomnia symptoms (but not a diagnosed insomnia disorder) have also been found to predict sleep paralysis. Associations between sleep paralysis and other unusual and/or threatening sleep experiences such as nightmares, Exploding Head Syndrome, and lucid dreaming have been reported. In terms of objective measurements, the limited literature to date shows sleep paralysis to be a "mixed" state of consciousness, combining elements of rapid eye movement sleep with elements of wakefulness. Future research needs to focus on longitudinal designs to disentangle the direction of effects and more typically employ a broader assessment of sleep paralysis that better captures associated features such as hallucinations, fear, and distress.
Brian A. Sharpless - One of the best experts on this subject based on the ideXlab platform.
-
Characteristic symptoms and associated features of Exploding Head Syndrome in undergraduates.
Cephalalgia : an international journal of headache, 2017Co-Authors: Brian A. SharplessAbstract:BackgroundExploding Head Syndrome (EHS) is characterized by loud noises or a sense of explosion in the Head during sleep transitions. Though relatively common, little is known about its characteris...
-
Exploding Head Syndrome, snapping of the brain or episodic cranial sensory shock?
Journal of neurology neurosurgery and psychiatry, 2016Co-Authors: Peter J. Goadsby, Brian A. SharplessAbstract:To the Editor, Recently, while writing our respective reviews on what has been called Exploding Head Syndrome (EHS),1 ,2 it became apparent that citation ordering in the condition may have snapped at an early stage. We write with an illustrative case as a clinical entree to set the bibliographic record straight. For background, EHS is a paroxysmal sensory parasomnia not associated with significant pain. The typical phenomenology of EHS can be briefly captured in the case of a patient recently seen by the first author. Case: A 60-year-old man reported of a sudden sensation of …
-
Exploding Head Syndrome
Unusual and Rare Psychological Disorders, 2016Co-Authors: Brian A. Sharpless, Jacob A. ZimmermanAbstract:Exploding Head Syndrome is the colorful name given to the experience of loud noises during sleep-wake and wake-sleep transitions that result in abrupt arousal and fright. The specific sounds reported during episodes of Exploding Head Syndrome are quite variable and can include perceptions of fireworks, lightening cracks, or nondescript screaming. Visual experiences (e.g., light flashes) may also be involved. A variety of etiological theories exist for Exploding Head Syndrome, but the most popular of these implicates abnormal surges of neuronal activity within the brainstem during sleep-wake transitions—surges which then are perceived as the loud and startling sounds. Although episodes are more common than initially thought and can have important clinical impacts on sufferers, Exploding Head Syndrome is still a relatively unknown disorder. Further, its characteristic symptoms have also been incorporated into several current conspiracy theories, of which many clinicians may be unaware.
-
Exploding Head Syndrome is common in college students
Journal of sleep research, 2015Co-Authors: Brian A. SharplessAbstract:Exploding Head Syndrome is characterized by the perception of loud noises during sleep-wake or wake-sleep transitions. Although episodes by themselves are relatively harmless, it is a frightening phenomenon that may result in clinical consequences. At present there are little systematic data on Exploding Head Syndrome, and prevalence rates are unknown. It has been hypothesized to be rare and to occur primarily in older (i.e. 50+ years) individuals, females, and those suffering from isolated sleep paralysis. In order to test these hypotheses, 211 undergraduate students were assessed for both Exploding Head Syndrome and isolated sleep paralysis using semi-structured diagnostic interviews: 18.00% of the sample experienced lifetime Exploding Head Syndrome, this reduced to 16.60% for recurrent cases. Though not more common in females, it was found in 36.89% of those diagnosed with isolated sleep paralysis. Exploding Head Syndrome episodes were accompanied by clinically significant levels of fear, and a minority (2.80%) experienced it to such a degree that it was associated with clinically significant distress and/or impairment. Contrary to some earlier theorizing, Exploding Head Syndrome was found to be a relatively common experience in younger individuals. Given the potential clinical impacts, it is recommended that it be assessed more regularly in research and clinical settings. Language: en
-
Exploding Head Syndrome
Sleep medicine reviews, 2014Co-Authors: Brian A. SharplessAbstract:Exploding Head Syndrome is characterized by the perception of abrupt, loud noises when going to sleep or waking up. They are usually painless, but associated with fear and distress. In spite of the fact that its characteristic symptomatology was first described approximately 150 y ago, Exploding Head Syndrome has received relatively little empirical and clinical attention. Therefore, a comprehensive review of the scientific literature using Medline, PsycINFO, Google Scholar, and PubMed was undertaken. After first discussing the history, prevalence, and associated features, the available polysomnography data and five main etiological theories for Exploding Head Syndrome are summarized. None of these theories has yet reached dominance in the field. Next, the various methods used to assess and treat Exploding Head Syndrome are discussed, as well as the limited outcome data. Finally, recommendations for future measure construction, treatment options, and differential diagnosis are provided.
Michele Terzaghi - One of the best experts on this subject based on the ideXlab platform.
-
Therapeutic Symptomatic Strategies in the Parasomnias
Current Treatment Options in Neurology, 2018Co-Authors: Raffaele Manni, Gianpaolo Toscano, Michele TerzaghiAbstract:Purpose of review The purpose of this review was to discuss the currently available pharmacologic and non-pharmacologic treatment options for parasomnias. Recent findings Recent pathophysiological findings about sleep structure in parasomnias helped understanding several drug mechanisms of action. Serotoninergic theory accounts for the effect of serotoninergic drugs. Study about spectral analysis of sleep showed the effect of clonazepam on spectral bands. Cannabinoids proved to be effective in some of parasomnias, as in many other neurological disorders. Summary A series of therapeutic strategies were analyzed and compared. Benzodiazepines, antidepressant drugs, and l -5-hydroxytryptophan may be beneficial in DOA. SSRI and topiramate are effective in SRED. RBD responds to clonazepam, melatonin, and to a lesser extent to dopaminergic and anticholinergic agents. Prazosin and cannabinoids are effective in nightmare disorder. Sleep paralysis may respond to antidepressant agents. Tricyclic antidepressant may be effective in sleep-related hallucinations and Exploding Head Syndrome. Sleep enuresis may be successfully treated with desmopressin, anticholinergic drugs, and imipramine.
-
Therapeutic Symptomatic Strategies in the Parasomnias
Current treatment options in neurology, 2018Co-Authors: Raffaele Manni, Gianpaolo Toscano, Michele TerzaghiAbstract:The purpose of this review was to discuss the currently available pharmacologic and non-pharmacologic treatment options for parasomnias. Recent pathophysiological findings about sleep structure in parasomnias helped understanding several drug mechanisms of action. Serotoninergic theory accounts for the effect of serotoninergic drugs. Study about spectral analysis of sleep showed the effect of clonazepam on spectral bands. Cannabinoids proved to be effective in some of parasomnias, as in many other neurological disorders. A series of therapeutic strategies were analyzed and compared. Benzodiazepines, antidepressant drugs, and l-5-hydroxytryptophan may be beneficial in DOA. SSRI and topiramate are effective in SRED. RBD responds to clonazepam, melatonin, and to a lesser extent to dopaminergic and anticholinergic agents. Prazosin and cannabinoids are effective in nightmare disorder. Sleep paralysis may respond to antidepressant agents. Tricyclic antidepressant may be effective in sleep-related hallucinations and Exploding Head Syndrome. Sleep enuresis may be successfully treated with desmopressin, anticholinergic drugs, and imipramine.
