DRUG-FREE MIGRAINE TREATMENT

A New Treatment for Severe Migraine

TEMMA® — one minimally invasive procedure. No daily pills, no injection cycles. Lasting relief from the pain that controls your life.

Schedule a ConsultationWhat is TEMMA®?
~90%Of patients improve across published series
30.5Average HIT-6 migraine-impact improvement (points)
ZeroSerious complications across all published studies
3Clinics open — more coming soon

Outcomes from peer-reviewed published studies. Individual results vary.

THE PRACTICE

A practice built entirely around migraine.

TEMMA® is our primary treatment — but it sits inside a complete interventional practice: fellowship-trained neurointerventional surgeons and migraine providers delivering one coordinated pathway from your first evaluation through a full year of procedural follow-up. Day-to-day medication management stays with your doctor.

One focus
Migraine is the entire practice — not one condition on a long menu. Every provider, protocol, and procedure exists for one condition.
A complete pathway
Evaluations, Botox®, the predictive lidocaine test, and TEMMA® — one team guides you from first visit through structured 12-month follow-up.
A team built for this
Fellowship-trained neurointerventional surgeons perform the procedures. Our migraine providers lead evaluations and ongoing Botox® care.
Get to know the practice
THE MECHANISM

Migraine pain has a source. It can be treated.

Most treatments manage symptoms with medication. TEMMA® works on the cause — in one procedure, without drugs.

01

The pathway

A small artery inside the skull, the middle meningeal artery (MMA), supplies the dura — the membrane surrounding the brain.

02

The problem

In migraine, the MMA dilates and the dura becomes inflamed, triggering the pain cascade that medications try — and often fail — to control.

03

The treatment

Embolization greatly decreases blood flow to the dura, smothering the inflammatory cascade. Drug-free, one procedure.

Understand the scienceHow TEMMA® works
WHY TEMMA® IS DIFFERENT

What makes it different from everything you have tried

Drug-free

No daily pills and no 12-week cycles. Relief without adding another prescription.

One procedure, not ongoing treatment

A single treatment date, not a schedule. Nothing to refill, no injections to repeat every 12 weeks.

We test before we treat

About 3 in 4 patients test positive — and a negative test means no procedure. Nothing permanent.

How the test works

Same-day discharge

It is a 40-minute procedure. You go home the same day.

See the procedure
THE PATHWAY

Four steps. You may already be partway there.

If medications and injections aren't enough, there's a next step — and we can prove it will work before you commit.

1

Preventive medications

Daily preventives, CGRP pills, and rescue medications — usually managed by your existing provider.

2

Botox® for chronic migraine

The FDA-approved injection preventive for chronic migraine — 15 or more headache days a month. Offered at selected clinics, every 12 weeks.

Learn more
3

The lidocaine test

A shorter version of the procedure, done in one visit. If lidocaine calms your pain, we know the pathway is driving your migraines.

Learn more
4

TEMMA®

If the test is positive, one 40-minute procedure reduces blood flow to the source of the pain. You go home the same day — drug-free.

Learn more
Never Alone on the Journey

Your journey, in your pocket.

Every Cortex patient gets the free TEMMA® Companion app — a guide that moves through treatment with you, from first consultation to your one-year outcome survey.

Knows your stage — and what happens next
A daily headache diary that takes 30 seconds
Outcome surveys at every milestone — 1 month to 1 year
See how the app works
The TEMMA Companion app showing a patient's recovery stage and what happens next
THE EVIDENCE

Published. Peer-reviewed. Real outcomes.

Zero
Serious complications across all published studies
~90%
Of patients report improvement in published series
30.5
Average HIT-6 improvement, sustained at 6 months
Read the studies
PATIENT EDUCATION

Understand your migraines

Types of Migraine

Which type of migraine you have changes which treatments can help. Learn the differences between the main types.

Read the article

Migraine Triggers

What sets off a migraine attack — stress, sleep, weather, food — and why triggers are only part of the story.

Read the article

Migraine Treatments

From daily preventives to injections to procedures — what each option does, and what the evidence says.

Read the article
Explore the education library
Cortex Tacoma
Cortex Olympia
Cortex Los Angeles
Cortex SF Bay Areasoon
Cortex Las Vegassoon
Cortex Phoenixsoon
Cortex Denversoon
View all 7 locations
Common Questions

Questions patients ask most

The next step starts with a conversation

Schedule a consultation. We review your history, answer every question, and tell you honestly whether TEMMA® is right for you.

Request a ConsultationCall (833) 4-CORTEX