- Subspecialty headache clinic visit reduced healthcare utilization in patients with migraine: Single institution retrospective cohort study. [Journal Article]Headache. 2026 Oct 15. [Online ahead of print]H
- CONCLUSIONS: Evaluation in a subspecialty headache center was associated with approximately 15% lower odds of 90-day unplanned HCU. Subspecialized migraine care may represent a high-value care model.
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- Plasma amylin levels in migraine and after erenumab treatment: A REFORM study. [Journal Article]Headache. 2026 Oct 13. [Online ahead of print]H
- CONCLUSIONS: Plasma amylin levels did not differ between adults with migraine and HCs, across clinically relevant migraine subgroups, or by response to erenumab. These findings do not support plasma amylin as a clinically useful disease or treatment-response biomarker and are consistent with the broader concept that migraine-relevant peptidergic signaling may be compartmentalized and not captured by peripheral venous blood sampling.
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- The MIND study: Design, feasibility, and baseline characteristics of a smartphone-based migraine cohort. [Journal Article]Headache. 2026 Oct 13. [Online ahead of print]H
- CONCLUSIONS: The Migraine Impact on Neurocognitive Dynamics study demonstrates the feasibility of high-frequency smartphone-based assessment of cognition and symptoms in migraine and provides a methodological foundation for future analyses of within-person cognitive and symptom dynamics across the migraine cycle.
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- Headache disorders among Indigenous communities: A scoping review undertaken with knowledge keeper guidance. [Review]Headache. 2026 Oct 12. [Online ahead of print]H
- CONCLUSIONS: Included studies from Canada, the United States, Australia, and New Zealand reported a high prevalence of headache in some Indigenous communities and suggest that this burden may result from or be associated with a combination of intergenerational trauma, adverse childhood experiences, lower socioeconomic status, head injury, environmental contaminants, and systemic racism resulting in barriers to diagnosis and care. Despite this apparent burden, the literature reveals a paucity of quality, headache-specific research conducted with Indigenous peoples across all four regions of study. To close gaps in headache diagnosis, treatment, and prevention, research and program development must be led by, or conducted in meaningful collaboration with, Indigenous communities in a manner that recognizes and uplifts Indigenous knowledge systems, healing, and conceptualizations of headache.
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- Perceived headache responses to exercise in patients with migraine: A cross-sectional study. [Journal Article]Headache. 2026 Oct 10. [Online ahead of print]H
- CONCLUSIONS: Perceived headache responses to exercise are highly heterogeneous and vary according to migraine burden and clinical characteristics. These findings underscore the importance of individualized clinical counseling over uniform exercise recommendations in migraine management.
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- Pregnancy outcomes following exposure to galcanezumab: Analysis of cases from the galcanezumab clinical trials and postmarketing database. [Journal Article]Headache. 2026 Oct 10. [Online ahead of print]H
- CONCLUSIONS: Based on the available data from this pooled analysis, this review did not identify any qualitative safety signal suggesting a causal relationship between galcanezumab exposure and adverse maternal or fetal outcomes. Because exposure durations were often limited and follow-up information was unavailable for many cases, no definitive conclusions can be drawn regarding the safety of galcanezumab during pregnancy.
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- Opioid use, disability, and patient-reported cognitive impairment in migraine: Multi-country results from the Chronic Migraine Epidemiology and Outcomes-International Study. [Journal Article]Headache. 2026 Oct 10. [Online ahead of print]H
- CONCLUSIONS: Among CaMEO-I respondents with migraine, opioid users were more likely to have moderate or severe disability and patient-reported cognitive impairment, although causality cannot be determined from cross-sectional analyses. These results support the need for better treatment optimization.
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- Taking the LEAD in headache advocacy: Focus on migraine at school. [Journal Article]Headache. 2026 Oct 08. [Online ahead of print]H
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- Headache among patients undergoing cardiac stress testing: Prevalence, clinical characteristics, and identification of myocardial ischemia. [Journal Article]Headache. 2026 Oct 08. [Online ahead of print]H
- CONCLUSIONS: Headache occurred in approximately one in 10 patients undergoing TMT, with a similar prevalence among TMT-positive and TMT-negative patients. Cardiac cephalalgia was identified in a small but clinically important subset of patients with myocardial ischemia based on reproduction of headache during stress testing, objective evidence of ischemia, and angiographic confirmation of CAD. Recognition of cardiac cephalalgia is important because treatment of the underlying CAD can substantially improve or resolve headache.
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- Molecular evidence of aquaporin-4 dysregulation and neuroinflammatory stress underlying blood-brain barrier dysfunction in idiopathic intracranial hypertension: A case-control study. [Journal Article]Headache. 2026 Oct 08. [Online ahead of print]H
- CONCLUSIONS: The findings provide molecular evidence of BBB disruption and neuroinflammatory pathway involved in the pathophysiology of IIH.
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- Cabergoline-induced SUNCT-like headache. [Letter]Headache. 2026 Sep 29. [Online ahead of print]H
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- Mitochondrial migraine: A multicenter study based on mitochondrial diseases presenting as encephalopathy and/or myopathy. [Journal Article]Headache. 2026 Sep 29. [Online ahead of print]H
- CONCLUSIONS: In patients with MD presenting as encephalopathy and/or myopathy, the 1-year frequency of migraine was more than five times higher than that in the general population. Epilepsy and elevated resting blood lactate concentration were identified as factors independently associated with migraine. In patients with MELAS, AHF positivity was associated with distinct and severe migraine phenotypes. Collectively, these findings offer clinical evidence supporting the potential link between migraine and mitochondrial dysfunction.
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- Anti-calcitonin gene-related peptide treatments in women's health: Gaps and clinical evidence in menstrual-related migraine, pregnancy, lactation, and hormonal contraception: A narrative review. [Review]Headache. 2026 Sep 29. [Online ahead of print]H
- CONCLUSIONS: Substantial evidence gaps exist across all reproductive health contexts examined. Prospective trials in menstrual-related migraine, pregnancy registries, lactation studies assessing infant outcomes, and research examining interactions with hormonal contraceptives are needed to optimize migraine care for women.
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- Guest editorial on "Anti-CGRP treatments in women's health: Gaps and clinical evidence in menstrual migraine, pregnancy, lactation, and hormonal contraception". [Editorial]Headache. 2026 Sep 29. [Online ahead of print]H
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- Orofacial pain disorder or trigeminal autonomic cephalalgia? Insights into pathophysiology and implications in medicine and dentistry. [Review]Headache. 2026 Sep 28. [Online ahead of print]H
- CONCLUSIONS: The potential presence of TACs in the orofacial region can be observed from preclinical models to the clinical setting. The International Classification of Headache Disorders (ICHD) needs to recognize this additional localization, as well as the intraoral one, including dental structures. Education about TACs/TAOPs in the medical and dental setting is vital. Evidence has shown that dentists are one of the first providers that are seen by this patient population due to similarities with dental pain. The dentist specialized in orofacial pain is a key ally in the identification of TACs/TAOPs. The medical/neurology and dental/orofacial pain settings have a great opportunity and responsibility to work together to stop years of pain in this patient population.
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