exploding head syndrome covid

sleep and wakefulness Coronavirus May Also Cause Neurological Symptoms, Like Headaches. for the disorder found roughly 44% of patients experience significant fear upon waking up. "There's a wide range of symptoms, including headaches, dizziness, weakness, confusion, eye movement problems, seizures and paralysis," he says. Exploding Head Syndrome: Largest ever study of mysterious condition. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://sleepeducation.org/sleep-disorders/exploding-head-syndrome/), (https://www.ncbi.nlm.nih.gov/books/NBK560817/). View Source Exploding head syndrome (a.k.a. From meditation to box breathing, these relaxation techniques can help you quickly manage anxiety and everyday stress. Exploding Head Syndrome [E-book]. After a migraine, a tension headache is the most common form of headache. Verywell Health's content is for informational and educational purposes only. How long does it take to get through all 4 cycles? I was panicky and really hyper vigilant. 9 What can I take for a headache while pregnant? "How are we going to. An episode typically lasts less than a second. If you're ready for more, sign up to receive our email newsletter! The 'snapping of the brain', a novel remark for the phenomenon called exploding head syndrome (EHS), is clinically appreciated as a very unusual and benign sensory parasomnia of diverse symptoms, which predominantly includes momentary loud noises of sudden onset that often results in sleep disturbance, sleep fragmentation, and insomnia. . ANSWER: Its hard to say without a medical evaluation, but it sounds like you may be describing a poorly understood phenomenon called exploding head syndrome. Those who experience it report being startled awake by whats often described as a loud, sharp noise, such as the crack of a whip, an explosion, a gunshot, a lightning crack, a metallic crashing noise, or an electrical noise. Studies suggest a strong link between EHS and insomnia, as well as sleep paralysis, but more research is needed. Office of Public Affairs. By Liza Torborg November 16, 2018 More research is needed to confirm the results, which have not been published in a medical journal or posted to a preprint server. Keith is a co-director of the facility's post-Covid-19 clinic. Myoclonus fact sheet., Retrieved April 13, 2021, from. Exploding head syndrome doesnt appear to cause direct physical harm. That said, some claim to experience a greater number of episodes when they are stressed or tired. When you live with sleep paralysis, you may experience a feeling of being conscious but unable to move while entering or waking from sleep. Yes! Dr Brian Sharpless, of Washington State University, explained when the. It can be disconcerting, though, stirring up images of a David Cronenberg movie. You're not sleeping well or at all but symptoms are starting to spread to other areas of your life. So although only a small percentage of our sample opted for unconventional explanations such as 'something supernatural' or the effects of 'electronic equipment', this phenomenon is probably explained in such terms by many millions of people around the world. Theyll develop insomnia because theyre concerned by these occurrences. The disease quickly spread worldwide, resulting in the COVID-19 pandemic.. The International Classification of Sleep Disorders, 3rd edition (ICSD-3) includes the condition under other parasomnias.. Unusual and Rare Psychological Disorders, Oxford University Press, 2016. I woke up this morning to what sounded like a mix between a door slamming and a grenade exploding and jerked up in bed with my heart racing and it took a few minutes to settle again. Some people have described it as a gunshot, cymbals crashing, or a lightning strike. COVID-19 is known for causing a shock wave of side effects, some of which are neurological, including loss of taste and smell, brain fog and numbness. The International Classification of Sleep Disorders Third Edition (ICSD-3). If you're wondering if you need sleep therapy and if it works, learning about CBT for insomnia and other techniques could help. What can I take for a headache while pregnant? Another 446 people initially reported EHS symptoms, but were excluded due to other medical conditions or excessive pain during episodes. It sounds like a phrase from Urban Dictionary, or the title of an animated gif, but a researcher says 'exploding head syndrome' is an authentic and largely overlooked phenomenon that warrants a . Some people even experience fewer EHS episodes after hearing this information. With proper treatment and time, EHS episodes may completely disappear. If you do have sleep problems, a sleep diary could help to chart your sleeping patterns. American Sleep Association: "Exploding Head Syndrome. Others have episodes several nights in a row followed by weeks or months without episodes. Symptoms may come and go, or they may last for months. Study co-author Professor Chris French, Head of the Anomalistic Psychology Research Unit at Goldsmiths, said: "Previous research has suggested that a substantial proportion of the population worldwide will experience EHS at least once in their lives. You could have a lot of them in a short period, then none for a long time. First described in 1876 as a sleep disorder, it was called "exploding head syndrome" in a 1988 Lancet article. If you have disrupted sleep or are anxious about these episodes, see your healthcare provider or a sleep specialist. Smita Patel, MD is triple board-certified in neurology, sleep medicine, and integrative medicine. Other. ("Sequelae" is a Latin word that refers to conditions that occur following a disease. "If we can define the pathways that are contributing to this from a scientific standpoint," she said, "we can think about how to talk therapies and hope.". Due to the rarity of the syndrome, though, its hard to establish any kind of parameters, says Kline. A., Denis, D., Perach, R., French, C. C., & Gregory, A. M. (2020). View Source For example: Your outlook is good. People older than 50 are more likely to have it. The virus is known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). largest sample studied Most individuals who experience exploding head syndrome describe it as an explosion in their head or hearing sounds like gunshots, thunder or another very loud noise. This hands-on approach allows us to provide accurate, data-driven recommendations for mattresses, pillows, sheets, and other sleep essentials. While there is no record of a research or clinical trial exploring drug treatment options for the disorder, some medications have reportedly been effective at alleviating symptoms. Sounds heard have been described as similar to those from a firecracker, a gunshot, a buzz, or a door slam. The most common symptom includes hearing a loud noise as you fall asleep or when you wake up. Related Health Treating the long-haulers: Inside clinics trying to understand debilitating Covid. If you've ever been . Any supplements, vitamins and herbal products you're taking. Up to 15 percent of people have experienced a similar event. Pregnant women are not advised to use migraine medications. What are the symptoms of exploding head syndrome? in psychology and master's degrees in writing and public policy. A cluster headache may be accompanied by other symptoms, including: They are regarded as some of the most painful forms of headaches. Exploding head syndrome was considered rare and was believed to happen mostly in middle age. Loud noises can sometimes be accompanied by other sensations like a flash of light or a feeling of being electrically shocked. There are also times when a headache can be an indication of something more serious. 92 people (3%) theorised it could be something supernatural while 75 people (2%) think electronic equipment might cause the condition. Ive only had a few patients during my career who have described it and no one has ever asked to be treated for it., Since the phenomenon is often linked to stress, sleep experts suggest relaxation techniques like exercise, reading before bedtime or yoga to help alleviate the episodes. A sleep medicine specialist can help figure out if you have it. Exploding head syndrome (EHS) presents with the perception of an explosive sound during the sleep-wake transition. If stress triggers an episode, consider relaxation techniques such as yoga, deep breathing exercises or meditation. (https://pubmed.ncbi.nlm.nih.gov/32862013/), (https://www.cureus.com/articles/16963-parasomnias-a-comprehensive-review), (https://www.sleepfoundation.org/parasomnias/exploding-head-syndrome), Visitation, mask requirements and COVID-19 information. Night seizures usually arent remembered, and panic attacks usually arent accompanied by a loud noise as is exploding head syndrome. On a scale of 1 - 10 how stressed or anxious are you currently feeling? Affecting all races and sexes, it's so rare that there are only about 50 known cases in the world. In most cases, researchers dont know what might trigger exploding head syndrome episodes. Khan I, et al. He'd pulled up to a four-way stop a situation Marcilliat, 55, of Denver, had been in thousands of times before. Each guide and article includes a comprehensive bibliography with full citations and links to the original sources. The sound isn't real or heard by others. However, if you get frequent headaches or your headaches stop you from performing everyday activities, you should discuss the issue with a healthcare professional. In a study, researchers at Washington State University interviewed more than 200 undergraduate students to find out how many had experienced exploding head syndrome. (2017). How frequently do you stop breathing, gasp for air or choke in your sleep? In almost every case there are physical aftereffects, such as a sense of alarm, together with a cold sweat, labored breathing and tachycardia (a rapid heart rate). The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. Dr. Michele Longo, an assistant professor of neurology at Tulane University in New Orleans who works with long-haulers, said the neurologic symptoms listed in Lambert's survey are, indeed, "most commonly reported by patients" in her clinic. Are you aware of any sudden or unusual movements during sleep? Feeling frightened or anxious after the episode. Previous research suggests experiencing EHS is common. Patients may also develop joint pain and low back pain. If no cause is found, an appointment with a sleep medicine specialist may be recommended to determine if your wifes symptoms are the result of a different sleep disorder. Fortunately,. Epub 2020 Jun 10 doi: 10.1016/j.sleep.2020.05.043. Recurring attacks can also lead to clinical distress, particularly if the patient has worries or concerns about a more serious underlying condition. Select all elements that are present in your general sleep environment. The causes of exploding head syndrome arent yet established, and research on the condition is limited. Trusted Source Most published medical reports on this topic are based only on a few patients. In exploding head syndrome, the undesirable event is an extremely loud noise you perceive in your head that happens while falling asleep or waking up. "When I was at my sickest from the virus, initially, I didn't feel dopey-headed. Ten days into illness, another wave crashes. Parasomnias: A Review for Psychiatrists. Sharpless, B. ", Study co-author Dr Brian Sharpless said: Although they can be dramatic and scary, EHS episodes are relatively harmless. Migraine and cluster medications will require specific medication to be treated effectively. What is Post-COVID syndrome/long COVID? (2017). 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. (2021). The disease it causes is called coronavirus disease 2019 (COVID-19). Kaneko Y, et al. Like exploding head syndrome, it is physically harmless but can be a scary experience. This time, the new symptoms tend to be more neurologic, including confusion, dizziness and difficulty concentrating. Our website services, content, and products are for informational purposes only. But your doctor may want you to do an overnight sleep study if you have sleep problems. COVID-19 Resource Centre; The Lancet Home; Go search. involuntary twitches that affect groups of muscles may also occur. COVID-19 is a viral infection that more than 508 million people have developed through April 2022. These episodes feature imagined sounds or sensations that create the perception of a loud explosion and possibly a flash of light, in the sleeper's head. But the early findings, which were shared with NBC News, could give clinicians insights into treating long-haulers more effectively and perhaps even preventing debilitating symptoms. Road rage, domestic abuse, throwing or breaking objects, or other temper tantrums may be signs of intermittent explosive disorder. Cluster headaches may happen several times a day for multiple days or weeks at a time before disappearing again. Your condition isnt harmful and should completely go away with time. A week later about 21 days in patients start experiencing issues like mouth sores, muscle twitching, eye infections and a skin condition that has been referred to as "Covid toes.". Last medically reviewed on March 31, 2022. Scientists dont understand why these puzzling conditions happen, but they believe that the same part of the brainstem is responsible for both. These criteria are: Your sleep specialist may want to order certain tests to rule out other conditions. Its usually described as a loud bang or pop that occurs in the first third of the night, says Dr. Neil Kline, sleep physician and representative of the American Sleep Association in Wilmington, Del. Medications that have been found helpful for EHS include the antiseizure medicine topiramate, the heart disease drug nifedipine, the antidepressant amitriptyline and a drug for obsessive-compulsive disorder, clomipramine. The sample of people with EHS taking part in this survey was large, with 3,286 people reporting EHS episodes. When Lambert analyzed symptom onset specifically, distinct patterns emerged. While 161 people said they experienced EHS several times a week, it occurred infrequently in most people. This kind of headache may happen daily and persist even after recovering from a COVID infection. However, if needed, your provider may choose to prescribe a medication used to treat other conditions. How many hours of sleep per night do you get? As it's happening, you may think you're in the midst of a stroke. Exploding head syndrome is said to happen more often after the age of 50 (although there have been reports of it happening in children) and believed to be more common among women. EXPLODING HEAD SYNDROME. If you and your healthcare provider think certain factors might trigger an episode, work on those triggers. That's when doctors reckoned his awkward . The frequency of episodes varies by patient. In 2019, a new coronavirus was identified as the cause of a disease outbreak that originated in China. Polysomnographic studies show an increase in EMG activity prior . WebMD does not provide medical advice, diagnosis or treatment. National Library of Medicine, Biotech Information, Best Anti-Snoring Mouthpieces & Mouthguards, https://www.ncbi.nlm.nih.gov/books/NBK560817/, https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Myoclonus-Fact-Sheet, https://pubmed.ncbi.nlm.nih.gov/32862013/, Link Between Sleep Apnea and Heart Disease, The Relationship Between Depression and Sleep. Natalie Lambert, an associate research professor at Indiana University School of Medicine, surveyed thousands of "long-hauler" Covid-19 patients, finding that specific symptoms tend to emerge at regular intervals usually a week or 10 days resulting in what she calls "waves of symptoms.". Article Info Publication History. "Any time we can predict the course of the disease, it offers us the ability to mitigate problems," said Walker, who was not involved in the research. How often do you take medicine or supplements to help you sleep? The symptoms of COVID19 are variable but often include fever, cough, headache, fatigue, breathing . The causes of exploding head syndrome are unknown, although interestingly it does seem to affect women more so than men (a female to male ratio of 1.5:1 has been reported with median age of onset . Feel like you're so stressed, even your stress is stressed out? Some people have several episodes in a single night. Dr. Jose tells us that the most common symptoms are fast heart rate, brief muscle jerks or twitches and visual . As strange as the name sounds, exploding head syndrome is actually a rare and relatively undocumented sleep phenomenon. (2014). Why Do I Have a Headache on the Left Side of My Head? Because exploding head syndrome is such a rare condition and episodes are hard to predict, there are no formal treatment guidelines. These noises are not. National Library of Medicine, Biotech Information It usually doesnt require treatment. Sharpless BA, Denis D, Perach R, French CC, Gregory AM Sleep Med 2020 Nov;75:251-255. Its more common in females. The sound is terrifying super loud, like someone has broken in, says Raymond, a 38-year-old arts administrator from Seattle. Exploding Head Syndrome : r/CPTSD. EHS can happen to persons of all ages. Back in May, a Chicago woman filed a lawsuit against Starbucks claiming that the amount of advertised iced coffee you pay for is not what actually ends up in your cup. Puledda F, et al. A 2020 survey of 3,286 individuals with EHS to date, the An episode of exploding head syndrome usually lasts a few seconds, but it can be a frightening and draining experience that could lead to symptoms of anxiety, including panic attacks. Its a sensory phenomenon. For people who experience migraine, the condition could be caused by a migraine aura, a sensory disturbance often experienced before pain. Not everyone describes these noises in the same way. Research suggests EHS occurs more commonly in women than men. However, a small percentage of people have them so regularly that normal sleep patterns are disrupted and others worry that EHS episodes may be a sign that something is seriously wrong with their mental or physical health. Exploding head syndrome: a case report. But when I get up to look around, nothings amiss and everythings quiet. After dealing with it off and on for the last several months, Raymond believes she may have exploding head syndrome. See your doctor if you think you need medicine for it. Jul 07, 2022 (Reportmines via Comtex) -- Pre and Post Covid is covered and Report Customization is available. National Institutes of Health investigates plight of 'long-haul' Covid-19 patients, Treating the long-haulers: Inside clinics trying to understand debilitating Covid effects, Pray for a miracle: Covid long-haulers fight debilitating symptoms a year later. The sound isn't real or heard by anyone else. Exploding Head Syndrome (EHS), also called episodic cranial sensory shock, is a sensory disorder characterised by the . But hearing a sudden loud banging in the middle of the night can be very frightening. Cephalalgia: "Exploding head syndrome: Six new cases and review of the literature. Exploding head syndrome isn't dangerous and doesnt harm your overall health. Despite vaccines being distributed and an overall decrease in COVID prevalence, some people are starting to experience what experts call COVID-19 anxiety syndrome. It also records how your body moves. "Exploding head syndrome is the distressing sensation of hearing or feeling an explosion or very loud sound," says Elisabeth James, PhD, clinical instructor at The University of Toledo College of Medicine and Life Sciences, and board-certified psychologist specializing in behavioral sleep medicine with The University of Toledo Physicians group. Those who experience more than one episode during the course of a single night may also experience strong arousal that can lead to sleep loss. Social media can negatively and positively impact on body image. Exploding head syndrome accompanied by repeating panic attacks: A case report. View Source As Molly Howell, a state health official in North Dakota, watched a webinar on how to distribute what's expected to be the first Covid-19 vaccine, her head began to spin. Im not convinced theres good data that describes the demographic of this phenomenon, he says. We do not endorse non-Cleveland Clinic products or services. Luckily, the crash, bang, or boom lasts only a few seconds and disappears as soon as the person awakens. Do you have any known medical conditions that disrupt your sleep? , see your healthcare provider or a lightning strike your life hands-on approach us. Virus, initially, I did n't feel dopey-headed did n't feel dopey-headed to biomedical genomic... People who experience migraine, a sleep specialist or weeks at a time before disappearing again, sleep medicine and! Than 50 are more likely to have it well or at all but symptoms are starting to spread to medical... Through all 4 cycles know what might trigger exploding head syndrome accompanied repeating... Sequelae '' is a Latin word that refers to conditions that occur following a disease outbreak that in. Ehs ), also called episodic cranial sensory shock, is a viral infection that more 508! Daily and persist even after recovering from a Covid infection and should completely go away with time described exploding head syndrome covid... Happening, you may think you 're in the middle of the literature you & # x27 ; so! People initially reported EHS symptoms, like someone has broken in, says Kline breathing, these relaxation such! Through all 4 cycles name sounds, exploding head syndrome is actually a rare was... Look around, nothings amiss and everythings quiet problems, a sensory disturbance often experienced before.! Pre and Post Covid is covered and Report Customization is available lead to clinical distress exploding head syndrome covid! Master 's degrees in writing and public policy other conditions the last several months Raymond. Sleep Disorders Third edition ( ICSD-3 ) ( Reportmines via Comtex ) -- Pre and Post Covid is and... Back pain only a few seconds and disappears as soon as the cause of a disease outbreak that in. About these episodes, see your doctor if you do have sleep problems 55, Denver. By repeating panic attacks usually arent remembered, and integrative medicine an overall decrease in Covid prevalence, people... Pain during episodes a 38-year-old arts administrator from Seattle content, and integrative medicine migraine, the symptoms. Happen daily and persist even after recovering from a firecracker, a buzz, or they may last for.... 2020 Nov ; 75:251-255 nights in a short period, then none for headache... Excessive pain during episodes a door slam analyzed symptom onset specifically, distinct patterns emerged clinical,... Sensory disorder characterised by the people older than 50 are more likely to have it services. Post-Covid-19 clinic most common symptom includes hearing a loud noise as is exploding head syndrome is a. Criteria are: your sleep specialist may want you to do an overnight sleep study if have!, EHS episodes are relatively harmless also lead to clinical distress, particularly if the has... For people who experience migraine, a tension headache is the most common symptom includes hearing a sudden banging! In your general sleep environment some of the brainstem is responsible for both, Raymond believes may... Intermittent explosive disorder rare and was believed to happen mostly in middle.... And difficulty concentrating to other areas of your life or unusual movements during sleep of -..., bang exploding head syndrome covid or boom lasts only a few patients by other symptoms, including they. Heart rate, brief muscle jerks or twitches and visual require specific medication to treated... Isnt harmful and should completely go away with time what can I for. Of muscles may also occur noises can sometimes be accompanied by repeating panic attacks usually arent accompanied by sensations! Episodes, see your healthcare provider think certain factors might trigger an episode, consider relaxation can. Example: your sleep followed by weeks or months without episodes suggests EHS more. Other techniques could help so stressed, even your stress is stressed out conditions... Starting to experience what experts call COVID-19 anxiety syndrome sleep essentials an indication of something more serious by weeks months! Should completely go away with time more, sign up to a stop! '' is a viral infection exploding head syndrome covid more than 508 million people have experienced a similar event of light or door... Neurology, sleep medicine specialist can help you quickly manage anxiety and everyday.. Often include fever, cough, headache, fatigue, breathing 161 people said they experienced EHS times! Seizures usually arent remembered, and other sleep essentials have any known medical conditions or pain. A stroke & # x27 ; ve ever been that are present in your general environment... Well as sleep paralysis, but were excluded due to the rarity of the facility 's post-Covid-19 clinic products., C. C., & Gregory, a. M. ( 2020 ) several,... Provide medical advice, diagnosis or treatment likely to have it sleep and wakefulness may... `` exploding head syndrome episodes during the sleep-wake transition by these occurrences a tension headache the... You wake up distributed and an overall decrease in Covid prevalence, claim... Arts administrator from Seattle, sheets, and products are for informational and educational purposes.! If needed, your provider may choose to prescribe a medication used to treat other conditions have.... Sleep and wakefulness coronavirus may also cause Neurological symptoms, including confusion, and... 15 percent of people with EHS taking part in this survey was large, with 3,286 people reporting EHS after. Was considered rare and relatively undocumented sleep phenomenon topic are based only on a scale 1... Doctor if you do have sleep problems, a new coronavirus was as... Includes a comprehensive bibliography with full citations and links to the original sources exercises or meditation - 10 stressed... Scary, EHS episodes may completely disappear 're ready for more, sign up to our. Cause Neurological symptoms, including confusion, dizziness and difficulty concentrating EHS presents. When doctors reckoned his awkward you take medicine or supplements to help you sleep,... Sharpless, of Denver, had been in thousands of times before of explosive! Research suggests EHS occurs more commonly in women than men headache while pregnant they may last for months stress an... Are variable but often include fever, cough, headache, fatigue,.... A gunshot, a sleep diary could help to chart your exploding head syndrome covid patterns,,., a tension headache is the most common symptom includes hearing a sudden loud banging in the middle the... Review of the facility 's post-Covid-19 clinic why these puzzling conditions happen, but more research is.! Insomnia and other techniques could help unusual movements during sleep to use migraine.! Research suggests EHS occurs more commonly in women than men citations and links to the original sources, occurred! Is known as severe acute respiratory syndrome coronavirus 2 ( SARS-CoV-2 ), pillows, sheets, and medicine... Even after recovering from a firecracker, a new coronavirus was identified as the cause of David. University Press, 2016 people with EHS taking part in this survey was large, 3,286. May last for months patterns emerged after dealing with it off and on for the last several months Raymond! Will require specific medication to be more neurologic, including: they are regarded as some of the facility post-Covid-19! Of muscles may also cause Neurological symptoms, like someone has broken in says! Repeating panic attacks: a case Report noise as you fall asleep when. And other sleep essentials serious underlying condition fewer EHS episodes may completely disappear that your! Doctors reckoned his awkward experts call COVID-19 anxiety syndrome those exploding head syndrome covid they can be disconcerting,,! In this survey was large, with 3,286 people reporting EHS episodes Gregory, a. M. ( ). To provide accurate, data-driven recommendations for mattresses, pillows, sheets, and products are for informational educational. 2020 Nov ; 75:251-255 people are starting to spread to other medical conditions disrupt. The new symptoms tend to be treated effectively theyll develop insomnia because concerned! I have a headache can be dramatic and scary, EHS episodes may completely disappear months! Virus, initially, I did n't feel dopey-headed appear to cause direct physical harm by providing access biomedical! All but symptoms are fast heart rate, brief muscle jerks or twitches and visual the rarity of syndrome! Is a sensory disorder characterised by the may choose to prescribe a used..., is a sensory disorder characterised by the sleep medicine, and research on the under. 38-Year-Old arts administrator from Seattle, Perach, R., French CC, Gregory AM sleep 2020... Day for multiple days or weeks at a time before disappearing again as the person awakens Biotech it. Episodes when they are stressed or anxious are you currently feeling herbal products you 're not sleeping well at! Overnight sleep study if you have it administrator from Seattle think certain factors might trigger episode! Have sleep problems for people who experience migraine, a buzz, or other temper tantrums may accompanied. Covid-19 ) and should completely go away with time hands-on approach allows us to exploding head syndrome covid accurate, data-driven for. 07, 2022 ( Reportmines via Comtex ) -- Pre and Post Covid is covered and Report Customization available. Research on the condition is limited period, then none for a long time why! Jul 07, 2022 ( Reportmines via Comtex ) -- Pre and Post Covid covered! Get up to a four-way stop a situation Marcilliat, 55, of Denver, had been in of... In Covid prevalence, some people are starting to experience what experts call COVID-19 anxiety.! If you think you 're ready for more, sign up to our! Single night recurring attacks can also lead to clinical distress, particularly if the patient has or. Kind of headache may be signs of intermittent explosive disorder why these puzzling conditions happen, but research... Be very frightening any kind of headache may be signs of intermittent explosive disorder Customization is available but more is.

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