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Evidence to Improve Care

Noninvasive Vagus Nerve Stimulation for Cluster Headache and Migraine

 

Draft Recommendation

  • Ontario Health, based on guidance from the Ontario Health Technology Advisory Committee, recommends against publicly funding noninvasive vagus nerve stimulation for people with cluster headache or migraine.

Read the draft recommendation report

Thank you for your comments.

The public feedback period for this topic has ended. All comments will be considered before a final recommendation is made and posted here. Use the tabs below to learn more about this topic and download supporting draft documents, including the full assessment report.


Cluster headache and migraine are 2 types of headache disorders. With cluster headache, people experience severe attacks of pain on 1 side of the head. The attacks happen often and in groups or “clusters.” Migraines are headaches that happen repeatedly and cause moderate to severe pulsating pain, usually on 1 side of the head. Cluster headache and migraine can cause substantial disability and affect people’s quality of life.

Many people with cluster headache or migraine find it difficult to manage their headache pain with standard medications. Others may experience side effects, be unable to take medications, or simply prefer to treat their pain without medications. Noninvasive vagus nerve stimulation (nVNS) is a nondrug, noninvasive treatment option that delivers a mild electrical stimulation to a nerve in the neck. It is intended to reduce the pain of a headache attack, make the attack shorter, or reduce the frequency of the headache attack.

This health technology assessment looked at how safe, effective, and cost-effective nVNS is for the acute treatment and prevention of cluster headache or migraine. It also looked at the budget impact of publicly funding nVNS and at the experiences, preferences, and values of people with cluster headache or migraine.

Read the full health technology assessment report for more information.

Noninvasive Vagus Nerve Stimulation for Cluster Headache and Migraine
December 2024

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We reviewed evidence on the use of noninvasive vagus nerve stimulation for cluster headache and migraine. Read the latest draft recommendation and share your feedback.


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Date posted: December 10, 2024
Closing date for public comment: January 3, 2025



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