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
10
No headache experienced
It helps me achieve a better night's sleep, particularly when I struggle to drift off. Fortunately, I do not experience a headache the following day.
Read More
10
No headaches after use
It works like a charm. I have no headaches afterwards. However, I don't use it for insomnia; I only take it when I need to fall asleep earlier than usual.
Read More
9
Headaches avoided
Excellent! This is my preferred melatonin. The 5mg dose is perfect for helping me sleep without feeling unwell during the day, such as suffering from headaches, and it’s very reasonably priced. Everyone at home uses and endorses it.
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.
It helps me achieve a better night's sleep, particularly when I struggle to drift off. Fortunately, I do not experience a headache the following day.
Read More
10
No headaches after use
It works like a charm. I have no headaches afterwards. However, I don't use it for insomnia; I only take it when I need to fall asleep earlier than usual.
Read More
9
Headaches avoided
Excellent! This is my preferred melatonin. The 5mg dose is perfect for helping me sleep without feeling unwell during the day, such as suffering from headaches, and it’s very reasonably priced. Everyone at home uses and endorses it.
Read More
0
Headache noted
Helps me sleep but results in a 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.
Melatonin is primarily known for its role in regulating sleep, but some people do find it beneficial for headaches, particularly tension-type headaches and migraines. When taken for headache relief, users often report varying times for seeing results. Generally, it can take about 30 minutes to 2 hours for melatonin to start working. This timeframe may vary based on individual differences in metabolism and the form of melatonin used (immediate-release vs. extended-release).
It’s important to note that while some individuals might experience quick relief, others may need to take melatonin consistently over several days to notice significant improvement in their headache symptoms. Also, dosage and timing play crucial roles in effectiveness, and if headaches are persistent, consulting a healthcare professional is advisable to explore more targeted treatments.
Recent research indicates that melatonin shows promise as a supplement for managing various types of headaches, particularly migraines and certain chronic headache disorders. In multiple studies, including a review of randomized trials with over 1,200 participants, melatonin was found to significantly reduce both the frequency and severity of migraine attacks compared to standard treatments and placebo [2]. Additionally, studies focused on specific headache types, such as hemicrania continua and paroxysmal hemicrania, suggest that melatonin can be a valuable alternative for patients who cannot tolerate traditional medications like indomethacin [1].
While the evidence supporting melatonin for headache management is encouraging, it is essential to note that further research is still needed to fully understand its efficacy and optimal use. Some studies have indicated that while melatonin can help reduce headache frequency, it may not always match the effectiveness of established treatments [6]. Furthermore, in cases involving children and migraines, the addition of melatonin to existing treatment regimens demonstrated benefits in headache frequency without significant side effects [4]. Overall, melatonin may be a beneficial supplement for headache management, but it is best viewed as part of a comprehensive treatment strategy rather than an independent solution.
Based on user reviews, many individuals report significant improvements in their ability to fall asleep and enjoy a restful night's sleep. For instance, one user noted that it works "like a charm" for achieving sleep without accompanying headaches, especially when used to adjust sleep schedules temporarily Read Review. Others echo this sentiment, stating that it helps them drift off easier, and they wake up headache-free, indicating that the product is effective for nighttime relief while not causing negative aftereffects Read Review.
However, results can vary; not all users have had completely positive experiences. While one reviewer highlighted that they found it helpful for sleep, they unfortunately experienced headaches as a side effect Read Review. Meanwhile, another user praised the 5mg dosage for allowing them to enjoy sleep without feeling groggy or unwell the next day Read Review. This shows that while many users report beneficial improvements, individual experiences may differ based on personal tolerance and sensitivity.
When it comes to combining this supplement with other products for headache management, user reports suggest a mixed bag of experiences. Many users have noted that using this supplement has resulted in a headache-free experience the next day, particularly when taken to facilitate sleep during irregular schedules. For example, one reviewer commented that it works "like a charm," leaving them without headaches afterwards Read Review. Similarly, another user indicated that they achieved better sleep without encountering any headaches the following day Read Review.
On the flip side, some users did report adverse effects when combining this supplement with other routines or dosages. One individual specifically mentioned that while the supplement helped with sleep, it unfortunately resulted in a headache, suggesting a possible negative interaction depending on personal biochemistry or additional supplements they were using Read Review. Overall, while many users find success in using this supplement without headaches, others caution that individual reactions can vary, highlighting the importance of personal experimentation and consultation when considering supplement combinations.
When it comes to treating headaches, particularly migraines, melatonin has shown promising results at certain doses. Research indicates that a dosage of approximately 3 mg of melatonin can significantly reduce both the frequency and severity of migraine attacks. In a clinical trial involving patients with episodic migraines, those taking 3 mg of melatonin experienced a notable decrease in migraine frequency compared to the placebo group, alongside improvements in the duration of attacks and an overall enhanced quality of sleep [5].
Furthermore, melatonin's effectiveness is further underscored by studies suggesting its utility in pediatric migraine management, where children taking melatonin alongside standard treatments reported a decreased frequency of headache attacks [4]. While higher doses have been explored, the consistent findings at the 3 mg level highlight it as a viable option for those seeking a natural remedy for headache relief. It’s important to note that while melatonin can be beneficial, further research is needed to fully validate its role and optimal dosing in headache management across different types of headaches [1].
10
No headaches after use
It works like a charm. I have no headaches afterwards. However, I don't use it for insomnia; I only take it when I need to fall asleep earlier than usual.
10
No headache experienced
It helps me achieve a better night's sleep, particularly when I struggle to drift off. Fortunately, I do not experience a headache the following day.
0
Headache noted
Helps me sleep but results in a headache.
9
Headaches avoided
Excellent! This is my preferred melatonin. The 5mg dose is perfect for helping me sleep without feeling unwell during the day, such as suffering from headaches, and it’s very reasonably priced. Everyone at home uses and endorses it.
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.
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.
7
Melatonin efficacy in headache treatment
Melatonin in hemicrania continua and paroxysmal hemicrania.
We explored the impact of melatonin as a treatment for two types of primary headache disorders known as hemicrania continua (HC) and paroxysmal hemicrania (PH). These conditions are characterized by severe, recurrent headaches and are typically treated with a drug called indomethacin, which not everyone can tolerate due to its side effects.
Our analysis involved reviewing clinical records from patients at King's College Hospital in London, focusing on those treated with melatonin. What we found was intriguing—while melatonin demonstrated some effectiveness in managing the symptoms of both HC and PH, it did not match the heightened responsiveness that indomethacin offers.
Nonetheless, one of the clear advantages of melatonin is its favorable side effect profile. For patients seeking options when they cannot tolerate indomethacin, melatonin presents a valuable alternative that can provide meaningful relief.
Overall, our findings suggest that melatonin could be a beneficial option for those suffering from chronic headaches, particularly for those who struggle with indomethacin or other traditional treatments.
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.
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.
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