Exploding Head Syndrome is an auditory phenomenon that occurs as you transition into sleep. You might hear a loud bang or gunshot-like sound, sometimes accompanied by a flash of light. It’s startling but painless, and harmless. Exploding Head Syndrome is thought to be related to the jerking sensation most people have experienced occasionally as they fall to sleep (called myoclonic jerks). Like many parasomnias, the likelihood of having an episode is increased by sleep deprivation, an irregular sleep schedule, illness such as a flu or cold, and stress. It is more common in women.

Exploding Head Syndrome has been a topic of discussion on platforms like Reddit, where many share their experiences and seek reassurance. Despite its alarming nature, it doesn’t pose significant health risks and usually doesn't require treatment. However, if the condition persists or causes distress, consulting a sleep specialist is recommended. There are a few medications that have been found to decrease Exploding Head Syndrome. Those are best prescribed by a sleep specialist, who can also make sure you don’t have any other sleep disorder.

Treatment for parasomnias varies depending on the specific disorder. General strategies include maintaining a regular sleep schedule, ensuring adequate rest, and managing stress. In some cases, medications or therapies might be recommended by a sleep specialist.

Once a 54-year-old woman experiencing Exploding Head Syndrome came into my sleep disorders institute. What was happening for her was as she was drowsy and falling asleep, she’d hear this loud bang in her head, as though a firecracker was going off. She’d wake up abruptly, with a racing heart, feeling alarmed. She was worried that she was having mini-strokes or seizures. Previously she had consulted several healthcare providers, so was relieved that we were able to diagnose the condition, and get started on a treatment plan.