Syndrome of the head which explodes

The Syndrome of the head which explodes is a sleep disorder , completely benign being part, of the Parasomnie S.

Epidemiology

One knows little about the frequency of the disorder, little case were published. The demonstrations are very seldom the occasion of a specialized consultation.

Diagnosis

Clinical aspects

It is about the sudden repercussion of a strong noise, an impression of explosion in the head at a subject on the point or slightly deadened. The noise is never accompanied by pain, it is not a Céphalée. On the other hand joins it very frequently the appearance of a feeling of luminous flash, and vegetative demonstrations reactional (feeling of breathing difficulties, palpitations…).

Complementary examinations

Most of the time, if the symptom is isolated, it is not necessary to practice a Polysomnographie. If it is carried out, one finds no anomaly of structure of the sleep. A neuropsychological evaluation can be proposed, not finding psychiatric pathology, but often of the anxious elements.

Physiopathology

It is not known. It is about a Hallucination, seeming to be different from the hypnagogic or hypnopompic hallucinations. Elements of stress and anxiety could take part in their appearances.

Treatment

No treatment is necessary.

Sources

sleep disorders, M.Billiard, Y. Dauvilliers at Masson

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