We explored how melatonin-based treatments, particularly agomelatine, can affect headaches, focusing on hypnic headaches (HH). This form of headache typically occurs during sleep, disrupting the rest of those affected. A fascinating case of a 58-year-old woman who experienced these nocturnal headaches for three years demonstrated the potential benefits of agomelatine.
After being prescribed 25 mg of agomelatine at bedtime, she reported an impressive 80% reduction in headache frequency and severity within a month. Remarkably, her headaches completely resolved after three months, allowing her to discontinue the medication.
This case highlights the importance of exploring prophylactic treatments aimed at reducing nighttime awakenings caused by HH. Given the significant impact these headaches can have on sleep quality in older populations, treatments that target melatonin receptors could offer a promising avenue for relieving this condition.
Read More
8
Melatonin reduces migraine frequency
Efficacy of Melatonin as a Promising Intervention for Migraine Prevention: A Systematic Review of Randomized Control Trials.
We explored melatonin's role in preventing migraines through a comprehensive review of randomized control trials. Our research involved analyzing data from several studies, focusing on how effective melatonin can be compared to standard treatments and placebo.
The systematic review included seven trials and over 1,200 participants, all diagnosed with migraines. Participants received either melatonin or agomelatine, and outcomes were measured against those receiving conventional migraine prevention methods.
From the analyzed studies, we observed that melatonin appears to significantly reduce both the frequency and severity of migraine attacks. However, there is still some debate about the specifics of its dose-dependent effects. Interestingly, melatonin may also play a role in weight management, indicating further research could be beneficial in this area.
Overall, the potential of melatonin as an alternative or adjunct therapy for headache prevention seems promising. Yet, we recognize that more extensive studies are needed to fully understand its benefits and optimal usage.
Read More
8
Agomelatine effectively reduces migraines
The effectiveness of agomelatine on headache severity and frequency in episodic migraine without aura; a parallel randomized controlled trial study.
We conducted a parallel, randomized controlled trial to evaluate the effectiveness of agomelatine, a melatonin antagonist, in managing episodic migraine without aura. In total, 400 patients were assessed, and from those, 100 met our inclusion criteria. These participants, aged between 18 and 60, had not previously received preventive migraine treatment and were free of specific medications for other conditions.
After random assignment, one group received 25 mg of agomelatine daily, while the control group received a placebo. Over three months, we measured the impact of agomelatine on the frequency and severity of migraine attacks using monthly migraine days and migraine disability assessments as key indicators. By the end of the study, we found that agomelatine was indeed effective in reducing migraine frequency and severity.
This promising outcome suggests that agomelatine could serve as a viable option for migraine prevention. We propose further research comparing it with other preventive medications to strengthen our findings and enhance treatment options for those suffering from migraines.
Read More
Most Useful Reviews
8
Eliminates headaches
This is a fantastic product. I take 5 mg, and it effectively prevents waking up with a headache. If you use the supplement as directed, it really works.
Read More
2
Headache issues
1 people found this helpful
They are okay. It works, but I woke up with a horrible headache.
We explored how melatonin-based treatments, particularly agomelatine, can affect headaches, focusing on hypnic headaches (HH). This form of headache typically occurs during sleep, disrupting the rest of those affected. A fascinating case of a 58-year-old woman who experienced these nocturnal headaches for three years demonstrated the potential benefits of agomelatine.
After being prescribed 25 mg of agomelatine at bedtime, she reported an impressive 80% reduction in headache frequency and severity within a month. Remarkably, her headaches completely resolved after three months, allowing her to discontinue the medication.
This case highlights the importance of exploring prophylactic treatments aimed at reducing nighttime awakenings caused by HH. Given the significant impact these headaches can have on sleep quality in older populations, treatments that target melatonin receptors could offer a promising avenue for relieving this condition.
Read More
9
Melatonin effectively reduces migraines
Efficacy of Melatonin Administration in Reducing Headaches in Children with Migraines without Sleep Disorders.
We set out to understand how melatonin might help alleviate headaches in children suffering from migraines without sleep disorders. In our study, we worked with fifty-five children aged 5 to 15 years, dividing them into two groups for a three-month treatment period.
One group received propranolol, a standard migraine medication, while the other group combined propranolol with melatonin. We visited the children before treatment, as well as one and three months afterward, to gather and assess their progress.
Our findings revealed that the combination of melatonin with propranolol led to a notable decrease in the frequency of headache attacks among the children receiving the added melatonin. In fact, three months after starting treatment, we observed a significant improvement in response rates and overall satisfaction among parents in the intervention group compared to those only on propranolol.
However, we did not find any significant difference in the intensity of headaches' impact on daily life between the two groups. Thankfully, the treatment was well-tolerated with no major side effects reported.
Overall, our research suggests that adding melatonin could be a beneficial strategy for reducing headache frequency in children with migraines without sleep issues, while also enhancing treatment satisfaction.
Read More
9
Melatonin shows promise for migraines
The Effect of Melatonin on Reducing the Frequency and Severity of Migraine Attacks: A Double-Blind, Randomized Clinical Trial.
We conducted a clinical trial to investigate whether melatonin can help reduce the frequency and severity of migraine attacks. In this study, 60 patients suffering from episodic migraines were divided into two groups. One group received 3 mg of melatonin, while the other group received a placebo, both alongside a standard treatment of propranolol for two months.
Over the course of the study, we monitored several factors related to migraines, including the frequency and duration of attacks, the severity of pain, the number of pain relievers used, and overall quality of sleep. Our results showed promising outcomes for those taking melatonin. Specifically, we found that the group receiving melatonin experienced a significant drop in the frequency and duration of their migraine attacks compared to the placebo group. Notably, the effectiveness of melatonin in decreasing the need for analgesics and improving scores on the Migraine Disability Assessment and Pittsburgh Sleep Quality Index was also evident.
While the severity of attacks did not differ greatly between the two groups, the side effects observed were minimal and comparable in both groups. This leads us to believe that melatonin could be a safe and effective option for preventive treatment of episodic migraine in adults.
Read More
8
Melatonin for headache relief explored
How can you manage an indomethacin-responsive headache in someone who cannot take indomethacin?
We explored treatment alternatives for paroxysmal hemicrania and hemicrania continua in patients who cannot tolerate indomethacin, a medication typically effective for these conditions. Recent findings have shown that melatonin, a naturally occurring hormone known for regulating sleep, also holds promise for alleviating headaches related to these disorders.
In studies conducted over the past 18 months, melatonin has been effectively used for managing hemicrania continua and is now suggested to be beneficial for paroxysmal hemicrania as well. This is significant since many patients experience side effects from indomethacin, including gastrointestinal issues and neuropsychiatric reactions.
We also noted the potential of non-invasive vagus nerve stimulation as a promising nonpharmacological option, which may help reduce the need for indomethacin while providing symptom relief. While alternative medications such as acemethacin and selective COX-2 inhibitors have shown some effectiveness, the research remains limited and calls for further investigation to establish more conclusive treatment guidelines.
Overall, while melatonin appears to be a helpful option, additional studies are necessary to better understand its role in headache management and develop reliable treatment protocols for those unable to take indomethacin.
Read More
8
Melatonin reduces migraine frequency
Efficacy of Melatonin as a Promising Intervention for Migraine Prevention: A Systematic Review of Randomized Control Trials.
We explored melatonin's role in preventing migraines through a comprehensive review of randomized control trials. Our research involved analyzing data from several studies, focusing on how effective melatonin can be compared to standard treatments and placebo.
The systematic review included seven trials and over 1,200 participants, all diagnosed with migraines. Participants received either melatonin or agomelatine, and outcomes were measured against those receiving conventional migraine prevention methods.
From the analyzed studies, we observed that melatonin appears to significantly reduce both the frequency and severity of migraine attacks. However, there is still some debate about the specifics of its dose-dependent effects. Interestingly, melatonin may also play a role in weight management, indicating further research could be beneficial in this area.
Overall, the potential of melatonin as an alternative or adjunct therapy for headache prevention seems promising. Yet, we recognize that more extensive studies are needed to fully understand its benefits and optimal usage.
This is a fantastic product. I take 5 mg, and it effectively prevents waking up with a headache. If you use the supplement as directed, it really works.
Read More
2
Headache issues
1 people found this helpful
They are okay. It works, but I woke up with a horrible headache.
Read More
Frequently Asked Questions
A headache is a common condition characterized by pain or discomfort in the head, scalp, or neck. It can vary in intensity, frequency, and duration, and is often classified into two primary categories: primary and secondary headaches. Primary headaches, such as tension-type headaches, migraines, and cluster headaches, are not caused by other medical conditions. Instead, they are conditions in themselves, often resulting from factors like stress, hormonal changes, or environmental triggers. Secondary headaches, on the other hand, are symptoms of an underlying issue, such as an infection, injury, or other medical conditions.
The experience of a headache can differ widely among individuals. Depending on the type, headaches can be throbbing or constant and may be accompanied by other symptoms like nausea, sensitivity to light, or aura effects before the headache strikes. Effective management strategies vary by headache type and may include over-the-counter pain relievers, lifestyle changes, and in some cases, prescription medications. Understanding the specific triggers and patterns related to your headaches can be crucial for prevention and treatment, so maintaining a headache diary may be beneficial for those experiencing frequent or severe episodes.
Melatonin is a hormone naturally produced by the pineal gland in the brain, primarily responsible for regulating sleep-wake cycles. It is often referred to as the "sleep hormone" because its levels typically rise in the evening, signaling to your body that it’s time to prepare for sleep. Conversely, melatonin levels tend to drop in the morning, helping to wake you up and feel alert. Factors such as light exposure, age, and lifestyle can affect melatonin production, which is why many people turn to melatonin supplements as a natural remedy for insomnia and sleep disorders.
Melatonin supplements can be particularly useful for those who have disrupted sleep patterns, such as shift workers or travelers experiencing jet lag. Available in various forms, including tablets and gummies, melatonin is widely regarded as a safe option for short-term use. However, it's essential to consult with a healthcare professional before starting any supplement, especially if you're pregnant, nursing, or taking other medications. While melatonin can be effective in promoting sleep, its efficacy can vary between individuals, and establishing good sleep hygiene practices, like maintaining a consistent sleep schedule and creating a comfortable sleep environment, can also significantly contribute to better sleep quality.
Melatonin has been studied for its potential benefits in managing headaches, particularly for those who experience migraines or tension-type headaches. Some research suggests that melatonin may help reduce the frequency and severity of migraines due to its role in regulating sleep patterns and its anti-inflammatory properties. For individuals who suffer from headaches that are triggered or worsened by poor sleep, melatonin's ability to promote better sleep quality can indirectly lead to fewer headache incidents.
However, while melatonin may offer relief for some, it is not a universal solution for all headache types. It’s important to consult with a healthcare provider before incorporating melatonin into your regimen, especially if you are experiencing chronic headaches. They can provide personalized insights and recommendations based on your specific health needs and existing treatments. Overall, melatonin could be a useful addition to your headache management strategy, particularly for those whose headaches are linked to sleep disturbances.
Based on user reviews, the timeline for experiencing results from this supplement may vary significantly. Many users report that they saw immediate effects on sleep within 15-30 minutes of taking it, but the feedback regarding headaches is more mixed. For instance, while some individuals found success without side effects, like waking up refreshed and headache-free (Read Review), others experienced headaches shortly after use or upon waking the next day (Read Review).
Overall, if you're considering this supplement for headaches, the experiences vary widely; some users report immediate relief, while others note that headaches can occur as a side effect after just a few days of use (Read Review). In conclusion, while many users might begin to feel the effects rapidly, it's important to be aware of the potential for headaches, which can be encountered relatively soon after starting the supplement.
Recent research has demonstrated that melatonin, a naturally occurring hormone, may offer potential benefits for individuals suffering from various types of headaches, particularly migraines and certain conditions such as hemicrania continua and paroxysmal hemicrania. A systematic review covering randomized trials involving over 1,200 participants found that melatonin was successful in significantly reducing both the frequency and severity of migraine attacks, suggesting it may be a practical alternative or adjunct therapy for headache prevention [2]. Moreover, trials focusing on pediatric populations also indicated that combining melatonin with standard migraine medication could lead to improved outcomes in headache frequency among children aged 5 to 15 [4].
However, while melatonin shows promise, it is not a universally effective standalone treatment for headaches. Some studies highlighted that individuals with migraines had lower serum melatonin levels, raising questions about its efficacy as a primary treatment method [3]. Additionally, melatonin may not provide significant advantages over other established migraine treatments [12]. Overall, although melatonin’s role in headache management appears beneficial, particularly as a supplementary option for specific headache disorders, further studies are necessary to fully establish its effectiveness and optimal usage in the context of headache treatment.
Many users report significant improvements in their sleep quality after taking this supplement, experiencing effects such as falling asleep quickly and waking up refreshed without any residual grogginess or headaches. Specifically, some users mention they could drift off within 15-20 minutes and appreciated that they did not wake up with headache symptoms, which had been a common issue for them previously (Read Review). This aligns with the experiences of others who note a lack of side effects, finding the supplement beneficial for adjusting their sleep schedules (Read Review).
However, it’s important to recognize the variance in individual experiences. While many users have enjoyed the calming and sleep-inducing effects without headaches, others have reported the opposite, indicating that they experienced headaches, dizziness, or other discomfort when using the product. For example, several reviewers noted that they suffered headaches the following day, which led them to discontinue use (Read Review). Consequently, while the anecdotal evidence leans towards effectiveness for a substantial number of users, those prone to headaches or side effects should approach with caution and monitor their responses closely.
Users report mixed experiences when combining this supplement with others for headache management. Some individuals, who incorporate it alongside other aids for sleep or anxiety, found that they could sleep well without experiencing headaches. For instance, one user stated they woke up refreshed and headache-free after combining the supplement with other natural sleep aids (Read Review). However, a significant number of users expressed that they experienced headaches either during the use or the following day after taking the supplement, which has led them to discontinue its use. Notably, several reviewers reported that headaches emerged alongside increased sleepiness or other side effects, thereby decreasing their overall satisfaction with the product (Read Review; Read Review).
Overall, while some users found effective combinations that alleviated their headaches, many others warned of an unwanted headache side effect, with some noting that their migraines worsened with use (Read Review; Read Review). Thus, it may be advisable to approach using this supplement cautiously, particularly for those with a history of headaches or migraines, and to consult a healthcare provider when considering a combination with other supplements.
When it comes to melatonin as a potential treatment for headaches, research indicates that doses typically range from 3 mg to 6 mg for efficacy, particularly in managing conditions like migraines and hemicrania. For instance, a clinical trial demonstrated that a 3 mg dose of melatonin, taken alongside standard migraine treatment, resulted in a significant drop in the frequency and duration of migraine attacks among participants compared to those on a placebo [5]. Additionally, a study focusing on pediatric migraines revealed that combining 3 mg of melatonin with another standard treatment led to a noticeable decrease in headache frequency in children [4].
While melatonin shows promise, it's important to note that optimal dosing can vary based on individual circumstances and specific conditions. Studies underscore that while melatonin can reduce headache severity and frequency, more extensive research is necessary to fully confirm its role and establish definitive treatment protocols [1]. Thus, those considering melatonin should consult healthcare professionals to tailor the dosage to their specific headache needs.
8
Melatonin reduces migraine frequency
Efficacy of Melatonin as a Promising Intervention for Migraine Prevention: A Systematic Review of Randomized Control Trials.
We explored melatonin's role in preventing migraines through a comprehensive review of randomized control trials. Our research involved analyzing data from several studies, focusing on how effective melatonin can be compared to standard treatments and placebo.
The systematic review included seven trials and over 1,200 participants, all diagnosed with migraines. Participants received either melatonin or agomelatine, and outcomes were measured against those receiving conventional migraine prevention methods.
From the analyzed studies, we observed that melatonin appears to significantly reduce both the frequency and severity of migraine attacks. However, there is still some debate about the specifics of its dose-dependent effects. Interestingly, melatonin may also play a role in weight management, indicating further research could be beneficial in this area.
Overall, the potential of melatonin as an alternative or adjunct therapy for headache prevention seems promising. Yet, we recognize that more extensive studies are needed to fully understand its benefits and optimal usage.
9
Melatonin effectively reduces migraines
Efficacy of Melatonin Administration in Reducing Headaches in Children with Migraines without Sleep Disorders.
We set out to understand how melatonin might help alleviate headaches in children suffering from migraines without sleep disorders. In our study, we worked with fifty-five children aged 5 to 15 years, dividing them into two groups for a three-month treatment period.
One group received propranolol, a standard migraine medication, while the other group combined propranolol with melatonin. We visited the children before treatment, as well as one and three months afterward, to gather and assess their progress.
Our findings revealed that the combination of melatonin with propranolol led to a notable decrease in the frequency of headache attacks among the children receiving the added melatonin. In fact, three months after starting treatment, we observed a significant improvement in response rates and overall satisfaction among parents in the intervention group compared to those only on propranolol.
However, we did not find any significant difference in the intensity of headaches' impact on daily life between the two groups. Thankfully, the treatment was well-tolerated with no major side effects reported.
Overall, our research suggests that adding melatonin could be a beneficial strategy for reducing headache frequency in children with migraines without sleep issues, while also enhancing treatment satisfaction.
7
Melatonin levels lower in migraineurs
Serum melatonin levels and in a sample of Iranian patients with migraine.
We conducted a case-control study focusing on serum melatonin levels in patients experiencing migraine. The research involved participants aged 18-65 from a headache clinic in Tehran, Iran, specifically looking at those with both episodic and chronic migraine diagnoses.
Our findings revealed that patients with both types of migraine had significantly lower serum melatonin levels compared to healthy individuals. On average, episodic migraine patients had melatonin levels around 72.83, while chronic migraine patients had levels of about 70.38. In contrast, the healthy controls had levels close to 280.
Despite these differences, we did not find significant variations in melatonin levels between episodic and chronic migraine patients. Overall, our study highlights that while individuals with migraines have lower melatonin levels, it does not provide evidence for melatonin being an effective standalone treatment for reducing headache frequency or severity.
8
Melatonin shows promise for migraines
Efficacy and Safety of Melatonin as Prophylaxis for Migraine in Adults: A Meta-analysis.
We explored the effectiveness of melatonin as a treatment for preventing migraines in adults. By examining data from several studies, we were able to assess how well melatonin works compared to a placebo and other standard treatments like amitriptyline and valproate.
Our analysis indicated that melatonin significantly improves migraine management. We found that individuals taking melatonin had a higher rate of positive responses compared to those on a placebo. This included notable reductions in the frequency of migraine attacks, the duration of each attack, and the severity of symptoms. We also observed that people using melatonin relied less on pain medications to manage their migraines.
However, when we compared melatonin to traditional migraine treatments, it did not show any significant advantages over amitriptyline or valproate. Importantly, we noted that common side effects, such as drowsiness and fatigue, did not vary significantly between those using melatonin and those taking other treatments, indicating a reassuring safety profile.
Overall, melatonin stands out as a promising option for those looking for preventive strategies for migraine, especially when compared to placebo treatments. It offers potential benefits in improving symptoms, though it may not surpass established medications for everyone.
9
Melatonin shows promise for migraines
The Effect of Melatonin on Reducing the Frequency and Severity of Migraine Attacks: A Double-Blind, Randomized Clinical Trial.
We conducted a clinical trial to investigate whether melatonin can help reduce the frequency and severity of migraine attacks. In this study, 60 patients suffering from episodic migraines were divided into two groups. One group received 3 mg of melatonin, while the other group received a placebo, both alongside a standard treatment of propranolol for two months.
Over the course of the study, we monitored several factors related to migraines, including the frequency and duration of attacks, the severity of pain, the number of pain relievers used, and overall quality of sleep. Our results showed promising outcomes for those taking melatonin. Specifically, we found that the group receiving melatonin experienced a significant drop in the frequency and duration of their migraine attacks compared to the placebo group. Notably, the effectiveness of melatonin in decreasing the need for analgesics and improving scores on the Migraine Disability Assessment and Pittsburgh Sleep Quality Index was also evident.
While the severity of attacks did not differ greatly between the two groups, the side effects observed were minimal and comparable in both groups. This leads us to believe that melatonin could be a safe and effective option for preventive treatment of episodic migraine in adults.
8
Melatonin for headache relief explored
How can you manage an indomethacin-responsive headache in someone who cannot take indomethacin?
We explored treatment alternatives for paroxysmal hemicrania and hemicrania continua in patients who cannot tolerate indomethacin, a medication typically effective for these conditions. Recent findings have shown that melatonin, a naturally occurring hormone known for regulating sleep, also holds promise for alleviating headaches related to these disorders.
In studies conducted over the past 18 months, melatonin has been effectively used for managing hemicrania continua and is now suggested to be beneficial for paroxysmal hemicrania as well. This is significant since many patients experience side effects from indomethacin, including gastrointestinal issues and neuropsychiatric reactions.
We also noted the potential of non-invasive vagus nerve stimulation as a promising nonpharmacological option, which may help reduce the need for indomethacin while providing symptom relief. While alternative medications such as acemethacin and selective COX-2 inhibitors have shown some effectiveness, the research remains limited and calls for further investigation to establish more conclusive treatment guidelines.
Overall, while melatonin appears to be a helpful option, additional studies are necessary to better understand its role in headache management and develop reliable treatment protocols for those unable to take indomethacin.
References
Osiowski A, Stolarz K, Taterra D. How can you manage an indomethacin-responsive headache in someone who cannot take indomethacin?. Curr Opin Neurol. 2025. 10.1097/WCO.0000000000001347
Nelakuditi B, Dandamudi BJ, Dimaano KAM, Shah N, AlQassab O, et al. Efficacy of Melatonin as a Promising Intervention for Migraine Prevention: A Systematic Review of Randomized Control Trials. Cureus. 2024;16:e72559. 10.7759/cureus.72559
Togha M, Noormohammadi M, Ghorbani Z, Karimzadeh F, Bathaie SZ. Serum melatonin levels and in a sample of Iranian patients with migraine. Sci Rep. 2024;14:22883. 10.1038/s41598-024-73278-y
Fayyazi A, Abbasian P, Hosseini SMS, Mohammadi Y, Bazmamoum H. Efficacy of Melatonin Administration in Reducing Headaches in Children with Migraines without Sleep Disorders. Iran J Child Neurol. 2024;18:57. 10.22037/ijcn.v18i3.42197
Mehramiri A, Shalilahmadi D, Mohamadianinejad SE, Kouti L, Hosseinpour Y. The Effect of Melatonin on Reducing the Frequency and Severity of Migraine Attacks: A Double-Blind, Randomized Clinical Trial. Iran J Med Sci. 2024;49:313. 10.30476/ijms.2023.97782.2965
Cheung SN, Oliveira R, Goadsby PJ. Melatonin in hemicrania continua and paroxysmal hemicrania. Cephalalgia. 2024;44:3331024231226196. 10.1177/03331024231226196
Farzin K, Kheiltash A, Tafakhori A, Nakhjiri NE, Sabet MS, et al. The effectiveness of agomelatine on headache severity and frequency in episodic migraine without aura; a parallel randomized controlled trial study. BMC Neurol. 2024;24:2. 10.1186/s12883-023-03516-9
Tao H, Wan Q, Sun M, Cai K, Song Y, et al. Involvement of Plasma Melatonin in Medication-Overuse Headache: A Cross-Sectional Study. Clin Neuropharmacol. 2024;47:12. 10.1097/WNF.0000000000000573
Gelfand AA, Allen IE, Grimes B, Irwin S, Qubty W, et al. Melatonin for migraine prevention in children and adolescents: A randomized, double-blind, placebo-controlled trial after single-blind placebo lead-in. Headache. 2023;63:1314. 10.1111/head.14600
Xu SY, Li L, Sun WX, Shen JY, Li CX. Case report: Hypnic headache responds to agomelatine-a potential prophylactic treatment option. Front Neurol. 2023;14:1179391. 10.3389/fneur.2023.1179391
Fayyazi A, Abdollahi A, Moradi A, Bazmamoun H. Administration in Efficacy of Melatonin Reducing Headaches in Children With Migraines and Sleep Disorders: A Randomized Clinical Trial Study. Iran J Child Neurol. 2022;16:55. 10.22037/ijcn.v17i2.37918
Puliappadamb HM, Maiti R, Mishra A, Jena M, Mishra BR. Efficacy and Safety of Melatonin as Prophylaxis for Migraine in Adults: A Meta-analysis. J Oral Facial Pain Headache. 2022;36:207–219. 10.11607/ofph.3211
Zduńska A, Cegielska J, Domitrz I. The Pathogenetic Role of Melatonin in Migraine and Its Theoretic Implications for Pharmacotherapy: A Brief Overview of the Research. Nutrients. 2022;14. 10.3390/nu14163335
Moreno-Ajona D, Hoffmann J. From basic mechanisms to therapeutic perspectives in cluster headache. Curr Opin Neurol. 2022;35:336. 10.1097/WCO.0000000000001055
Hvingelby V, Tsigka E, Jensen RH, Hylin S, Mathiesen T. Natural Progression of Pineal Cysts in Relation to Headache: A Prospective Observational Study. Eur J Neurol. 2025;32:e70120. 10.1111/ene.70120