Diagnosis of paroxysmal events in epilepsy patients is often made through 
video-telemetry electroencephalography in the epilepsy monitoring unit. This 
case report describes the first-ever diagnosis of exploding head syndrome in a 
patient with longstanding epilepsy and novel nocturnal events. In this report, 
we describe the presentation of exploding head syndrome and its prevalence and 
risk factors. In addition, the prevalence of newly diagnosed sleep disorders 
through video-telemetry electroencephalography in the epilepsy monitoring unit 
is briefly reviewed. This report also illustrates the novel use of clobazam for 
the treatment of exploding head syndrome.