Background and purpose: The etiology of 'exploding head syndrome' (EHS) is currently highly controversial and its management is unknown. The object was to explore these.
Methods: This observational study describes my personal experience of EHS and discusses its implications.
Results: I experienced, while suffering from EHS, recurrent episodes of transient cardiac arrests due to sick sinus syndrome. Implantation of a cardiac pacemaker resulted in immediate, dramatic, permanent cessation of both cardiac arrest episodes and EHS. This has not been reported previously.
Conclusions: This striking temporal relationship indicates a possible association between EHS and sick sinus syndrome.
Keywords: Holter monitor; cardiac asystole; cardiac pacemaker implantation; exploding head syndrome; sick sinus syndrome.
© 2020 European Academy of Neurology.