

Diane Mapes writes:








Or as Raymond puts it, you suddenly wake up “feeling like a character out of Poe.”

As for the explosions themselves, patients have described them as a shotgun blast, a thunderclap, a loud metallic noise, the clash of cymbals, a lightning strike or the sound of every door in the house slamming. Luckily, the crash, bang, or boom lasts only a few seconds and disappears as soon as the person awakens. Episodes, which are usually clustered over the course of a few days, will then disappear for months — or years — on end.

It’s unclear why stress would bring on a crashing sound in your head, although some have speculated that it may be the result of a movement of the middle ear component or of the eustachian tube.

J.M.S. Pearce, the British neurologist who coined the term, calls it a “mystery” requiring further study. He also felt the phenomenon was not as rare as some believe, perhaps due to people’s hesitancy to discuss it. “Many [patients] said they had been ashamed to mention it to their doctors or that their complaint had been greeted with incredulity if not frank disbelief,” he wrote in his 1989 study “Clinical features of the exploding head syndrome.” “It is entirely benign, and I suspect quite common, but underreported.”

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. Due to the rarity of the syndrome, though, it’s hard to establish any kind of parameters, says Kline.

“I’m not convinced there’s good data that describes the demographic of this phenomenon,” he says. “I’ve 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. According to studies, a few patients have also found relief by taking certain types of antidepressants. A 2001 study in the journal Current Pain and Headache Reports found “most sufferers require only reassurance that the spells are benign in nature.”

But hearing a sudden loud banging in the middle of the night can be very frightening. “So if an individual is experiencing this and it’s disrupting their sleep or causing them anxiety, they should talk to their doctor about it,” Kline advises.

Despite the sensational name, there’s no danger that your head will actually blow apart.

“When most people hear of it, they visualize an individual’s head exploding,” says Kline That’s not what happens.”