The Section for Headache and Facial Pain is one of the largest and most comprehensive centers in the world dedicated towards managing and treating headache and facial pain. But we don't stop there. We are in pursuit of something even greater -- the idea and possibility that we can, and should, do all we can to help make life better for patients with headache and face pain.

We accomplish this through the following innovative research initiatives:

  • Clinical research studying migraine, cluster headache, atypical facial pain
  • Translational and outcome data for over a decade studying the impact of:
    • Onabotulinum Toxin A for migraine and trigeminal neuralgia
    • Calcitonin Gene Related Peptide Inhibitors
  • Infusions for headache and face pain, including Ketamine
  • Virtual Methods for the Treatment of Chronic Migraine
    • 8-week, weekly virtual visit program evaluating for holistic causes and treatments for migraine
  • Headache Reboot Program
    • Multidisciplinary outpatient program for chronic headache patients

Contact Information

Zubair Ahmed, MD



A 69-year-old woman with diplopia and lower extremity weakness. Migdady I, Mays MA, Levin KH. Cleve Clin J Med. 2019 June;86(6):374-379. doi:10.3949/ccjm.86a.18113.

Restricted Diffusion MRI Lesions in HIV-Associated CMV Encephalitis. Cho SM, Mays MA. Neurohospitalist. 2018 Jan;8 (1):NP3-NP4. doi: 10.1177/1941874417698325. Epub 2017 Mar 10. PMID: 29276568.

Mentored peer review of standardized manuscripts as a teaching tool for residents: a pilot randomized controlled multi-center study. Wong VSS, Strowd RE, Aragón-García R, Park Moon Y, Ford B, Haut, SR, Kass JS, London ZN, Mays MA, Milligan AT, Price RS, Reynolds PS, Selwa LM, Spencer DC, Elkind MS. Research Integrity and Peer Review. 2017 Jun 5; 2:6. doi: 10.1186/s41073-017-0032-0. eCollection 2017. PMID: 29451555.

Acute paraparesis and sensory loss following intravenous corticosteroid administration in a case of longitudinally extensive transverse myelitis caused by spinal dural arteriovenous fistula: case report and review of literature. DiSano MA, Cerejo R, Mays M. Spinal Cord Series and Cases. 2017 May 18; 3:17025.

Calcitonin Gene Related Peptide Antagonists for the treatment of headache disorders. Bucklan J. Ahmed ZA. Review. Cleveland Clinic Journal of Medicine. In Press.

Patients with Migraine have Substantial Reductions in measures of Visual Quality of Life. Hanson LL, Ahmed Z, Katz BJ, Warner JEA, Crum AV, Zhang Y, Zhang Y, Baggaley S, Pippitt K, Cortez MM, Digre KB. Headache. 2018. Jul;58(7):10007-1013.

Sarcoidosis-associated Small Fiber Neuropathy in a Large Cohort: clinical aspects and response to IVIG and anti-TNF alpha treatment.Tavee J, Karwa K, Ahmed Z, Thompson N, Culver DA. Respiratory Medicine. May 2017.126:135-138.

Safety and Efficacy of Occipital Nerves Stimulation for the Treatment of Chronic Migraines: Randomized, Double-blind, Controlled Single-center Experience. Pain Pract. 2017 Jun;17(5):669-677. Mekhail NA, Estemalik E, Azer G, Davis K, Tepper SJ.

Do providers discuss the Relationship between Sleep and Headache Prior to Consultation with a Headache specialist? 59th Annual American Headache Society Meeting, Boston, MA June 2017.Michael, Rebecca MD, Hogue, Olivia MPH, Kriegler, Jennifer S MD. 

A Prospective Cohort Study of Outpatient Interdisciplinary Rehabilitation of Chronic Headache Patients. Headache. 2017 Mar;57(3):428-440. Krause SJ Stillman MJ, Tepper DE, Zajac D.

An Algorithm for Opioid and Barbiturate Reduction in the Acute Management of Headache in the Emergency Department.. Headache. 2017 Jan;57(1):71-79. Ahmed ZA, Nacopoulos DA, John S, Papesh N, Levine D, Bamford CC

The Effectiveness of Aromatherapy in Reducing Pain: A Systematic Review and Meta-Analysis Pain Res Treat. Dec 2016;1-13 SE, Sheafer H, Tepper D.

Long-Term Outcomes and Clinical Characteristics of Hypnic Headache Syndrome: 40 Patients Series from a Tertiary Referral Center. Headache. 2016 Apr;56(4):717-724. Tariq N, Estemalik E, Vij B, Kriegler JS, Tepper SJ, Stillman MJ.

Effect of OnabotulinumtoxinA Injection on Depression in Chronic Migraine. Headache. 2015 Oct;55(9):1218-1224. Maasumi K, Thompson NR, Kriegler JS, Tepper SJ.

Safety and Efficacy of Onabotulinumtoxin A for Chronic Migraines in theElderly. a Comparison with PREEMPT-II Clinical Trial. Headache 55, 144-144. 2015. Tariq,N, E Estemalik, M Adil, SJ Tepper, J Kriegler.

Frequency of Migraine Headaches in Patients With Fibromyalgia. Headache. 2015 Jun;55(6):860-865. Vij B, Whipple MO, Tepper SJ, Mohabbat AB, Stillman M, Vincent A.

A comprehensive review of the use of deep brain stimulation (DBS) in treatment of psychiatric and headache disorders. Headache. 2015 Feb;55(2):345-350. Altinay M, Estemalik E, Malone DA Jr.

Triptan education and improving knowledge for optimal migraine treatment: an observational study. Headache. 2014 Apr;54(4):686-97. Baron EP, Markowitz SY, Lettich A, Hastriter E, Lovell B, Kalidas K, Dodick DW, Schwedt TJ; American Headache Society Headache Fellows Research Consortium

A Single Center, Randomized, Open-Label, Crossover Study Comparing a Sumatriptan/naproxen sodium Combination with Usual Triptan Monotherapy for Workplace Productivity Improvement in Migraine. 59th Annual American Headache Society Meeting, Boston, MA June 2017. Tarr,AM, Brena,J, Tepper,SJ, Kriegler,JS. 

New treatments for headache. Neurol Sci. 2017 May;38(Suppl 1):145-156. Maasumi K Tepper SJ, Rapoport AM. 

Patent Foramen Ovale and Migraine: Closing the Debate--A Review. Headache. 2016 Mar;56(3):462-78. Tariq N, Tepper SJ, Kriegler JS.

Nutraceutical and Other Modalities for the Treatment of Headache.Continuum (Minneap Minn). 2015 Aug;21(4 Headache):1018-31. Tepper SJ.

Comprehensive Review of Medicinal Marijuana, Cannabinoids, and Therapeutic Implications in Medicine and Headache: What a Long Strange Trip It's Been …. Headache. 2015 Jun;55(6):885-916. Baron EP 

AVP-825 breath-powered intranasal delivery system containing 22 mg sumatriptan powder vs 100 mg oral sumatriptan in the acute treatment of migraines (The COMPASS study): a comparative randomized clinical trial across multiple attacks. Headache. 2015 May;55(5):621-35. Tepper SJ, Cady RK, Silberstein S, Messina J, Mahmoud RA, Djupesland PG, Shin P, Siffert J.

Cluster headache: potential options for medically refractory patients (when all else fails). Headache. 2013 Jul-Aug;53(7):1183-90. Tepper SJ, Stillman MJ. 

Members & Collaborations