Exploding Head Syndrome – What is it?

Exploding head syndrome is an imagined loud noise heard just before one falls asleep sounding like:

  • A loud bang
  • Cymbals crashing
  • A bomb exploding
  • Constant violent crashing

Episodes are undeterminable and may happen every night, multiple times a night, or infrequently. Exploding head syndrome is typically more annoying than painful. The imagined sounds disturb sleep by keeping you up, but usually, pain is not associated with the sounds. What causes exploding head syndrome is unknown, but it is thought to occur more with high levels of stress.

What causes it?

The specific causes of exploding head syndrome are not known, but it does seem to decrease over time.

Possible Solutions

Treatment most often involves getting adequate sleep at night as episodes typically occur when one is sleep deprived. If stress is believed to be a triggering factor, then establishing a relaxing routine, such as yoga or a hot bath, before bed is recommended.

Some studies have shown that clomipramine may help to treat some symptoms of exploding head syndrome.

Why get treatment?

If you believe medication is needed for treatment, talk to our Board Certified Sleep Physician or your personal physician.

Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. This article is for informational purposes only and does not constitute medical advice; the Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment.