Exploding head syndrome – the early steps

Exploding head syndrome is a rare entity associated with migraine that occurs during sleep onset. A male migraine with aura patient presented with episodes of abrupt awakening following perceptions of sounds resembling a speeding up motorcycle engine interspersed with bursts of exhaust explosions like noises, accompanied by an exploding sensation in the head. The patient presented in the evolution of self-limited period of headache chronicity. This syndrome has been associated with an atypical form of acoustic aura that often leads to migraine chronification.