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Exploding head syndrome, snapping of the brain or episodic cranial sensory shock?
  1. Peter J Goadsby1,
  2. Brian A Sharpless2
  1. 1 NIHR-Wellcome Trust King's Clinical Research Facility, Kings College London, London, UK
  2. 2Clinical Psychology Program, The American School of Professional Psychology at Argosy University, Washington DC, USA
  1. Correspondence to Professor Peter J Goadsby, Wellcome Foundation Building, King's College Hospital, London SE5 9PJ, UK; peter.goadsby{at}

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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 entrée 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 …

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  • Contributors PJG and BS contributed equally to the writing of the letter.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.