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Exploding Head Syndrome Followed by Sleep Paralysis: A Rare Migraine Aura


  • Randolph W. Evans MD

  • From Park Plaza Hospital, Neurology, Houston, Texas.

Address all correspondence to Dr. Randolph W. Evans, 1200 Binz, Suite 1370, Houston, TX 77004.


A 26-year-old patient is described with a unique migraine aura. She described an 8-year history of episodes occurring 1 to 2 times yearly of exploding head syndrome followed by sleep paralysis followed by a migraine headache. She also had identical headaches without aura about once per week. Both aura symptoms, which may occur in the brainstem, resulted in activation of the trigeminovascular system through an unknown mechanism.