Exploding head syndrome is a rare phenomenon but can be a significant disruption 
to quality of life. We describe a 39-year-old female with symptoms of a loud 
bang and buzz at sleep onset for 3 years. EEG monitoring confirmed these events 
occurred in transition from stage 1 sleep. This patient reported improvement in 
intensity of events with topiramate medication. Based on these results, 
topiramate may be an alternative method to reduce the intensity of events in 
exploding head syndrome.