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폭발머리증후군 증례: 수면다원검사 소견 중심으로

A Case of Exploding Head Syndrome: Focus on Polysomnographic Finding

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초록

Exploding head syndrome is a rare nocturnal disorder that the patient experiences a loud sound. The events occur usually during a period of drowsiness preceding sleep. The polysomnography studies in exploding head syndrome are very rare. We report a case of exploding head syndrome that a total of 8 typical episodes were recorded in polysomnography. A 51 years old female was admitted due to nocturnal loud sound from 2 month ago. There was no headache and no history of sleep problems. During the polysomnography, the events recorded 8 times, 6 of the events occurred during waking time prior to sleep onset, 2 developed in N1 sleep. In our case, the events appear to arise from early drowsiness with predominant alpha rhythm, with interspersed theta activity.

Abstract

Exploding head syndrome is a rare nocturnal disorder that the patient experiences a loud sound. The events occur usually during a period of drowsiness preceding sleep. The polysomnography studies in exploding head syndrome are very rare. We report a case of exploding head syndrome that a total of 8 typical episodes were recorded in polysomnography. A 51 years old female was admitted due to nocturnal loud sound from 2 month ago. There was no headache and no history of sleep problems. During the polysomnography, the events recorded 8 times, 6 of the events occurred during waking time prior to sleep onset, 2 developed in N1 sleep. In our case, the events appear to arise from early drowsiness with predominant alpha rhythm, with interspersed theta activity.

참고문헌 (7)

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  3. Landtblom AM, "Sudden onset headache: a prospective study of features, incidence and causes", Cephalalgia, 22, pp.354~360 (2002)
  4. Evans RW, "Exploding head syndrome followed by sleep paralysis: a rare migraine aura", Headache, 46, pp.682~683 (2006)
  5. Sachs C, "The exploding head syndrome: polysomnographic recordings and therapeutic suggestions", Sleep, 14, pp.263~266 (1991)
  6. Palikh GM, "Topiramate responsive exploding head syndrome", J Clin Sleep Med, 6, pp.382~383 (2010)
  7. Peter J. Hauri, "The International Classification of Sleep Disorders", pp.168~169 (2005), American Academy of Sleep Medicine

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