As well as explosions, other types of loud noise perceived during episodes of EHS include gunshots, fireworks, thunder, doors slamming, clapping, shouting, and the clash of cymbals. Photograph: Ryan J Lane/Getty Images
Of all the sleep disorders, “exploding head syndrome” (EHS) has arguably the most intriguing name. EHS has been described as “a sensory parasomnia characterised by the perception of loud noises and/or a sense of explosion in the head when transitioning to or from sleep. These noises are not associated with significant pain, but lead to abrupt arousal and feelings of fright”.
Although this phenomenon was first described as long ago as 1876, it was not given its colourful title until 1988. Despite its long history, it has received very little systematic research attention, with most of our knowledge being based upon small samples of case histories as opposed to large-scale investigations. We, the authors of this piece, along with the world’s leading authority on EHS, Dr Brian Sharpless of Argosy University, Northern Virginia, are hoping to rectify that situation by carrying out a large-scale survey of EHS. We’re also interested in the equally intriguing phenomenon of sleep paralysis, which involves a temporary period of paralysis occurring between sleep and wakefulness, often accompanied by hallucinations.
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