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Headaches in Parkinson's disease: a comprehensive review

Boczarska-Jedynak M

Neurologia i neurochirurgia polska, 2026

Abstract

Headaches are common but underrecognized non-motor symptoms in Parkinson's disease (PD). They may appear as primary headaches, secondary headaches or as a part of PD-related nociceptive and neuroplastic pain syndromes. The prevalence of headaches in PD varies widely, with observational studies suggesting that up to 49% of patients report headaches, including tension-type headaches (TTH) and migraines. Headaches related to PD may present prodromally, occur during motor fluctuations or as a side effect of dopaminergic therapy. This review summarizes the epidemiology, classification, pathophysiology and clinical management of headaches in PD, with an emphasis on evidence from population-based cohort studies, imaging research, and clinical observations.

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