What is ‘Exploding Head Syndrome’? All about the terrifying — but actually harmless — disorder - New York Post

What the report says

The New York Post published an explainer on “exploding head syndrome,” a sleep-related condition with an alarming name but generally benign medical profile. According to the report, the disorder can make a person perceive a sudden loud sound — such as a bang, explosion, gunshot, thunder or breaking glass — as they are falling asleep or waking up, even though no external sound occurred and others nearby cannot hear it.

The Post described exploding head syndrome, also known as episodic cranial sensory shocks, as a type of parasomnia, a category of unusual experiences or behaviors that interfere with sleep. The article says the condition itself is not considered dangerous, but it may be distressing and can interrupt rest. The report also notes that poor or disrupted sleep can contribute to broader health concerns, making management important for people whose episodes are frequent or upsetting.

The cause remains uncertain. The Post cited several possible explanations researchers have considered, including irregular activity in brain areas involved in sensory processing, problems involving the inner ear, unusual transitions between sleep and waking, small seizure-like events in the temporal lobe, or effects related to suddenly stopping some anxiety or depression medications, including benzodiazepines. A genetic link is also possible, though no specific gene has been identified in the article.

Reported symptoms can include flashes of light, muscle jerks, sweating, a racing heart, shortness of breath, anxiety and difficulty returning to sleep. The Post said there is no single dedicated treatment, but doctors may manage symptoms with sleep-focused strategies, relaxation practices, journaling to identify triggers, or, in some cases, medications used for other parasomnias or neurological conditions.