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$Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain$

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Noninvasive neuromodulation in cluster headache.

Miguel J A Láinez¹, Rigmor Jensen

¹aDepartment of Neurology, Clinic University Hospital, Catholic University of Valencia, Valencia, Spain bDepartment of Neurology, Danish Headache Center, Glostrup Hospital, University of Copenhagen, Copenhagen, Denmark.

Current Opinion in Neurology

|April 19, 2015

Summary

This summary is machine-generated.

Noninvasive vagal nerve stimulation offers a promising, less invasive alternative for managing intractable cluster headaches. This approach has shown effectiveness in reducing weekly attacks with a low rate of mild adverse events.

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Area of Science:

Neurology
Neurosurgery

Background:

Cluster headache is a debilitating neurological condition.
Medically intractable cases often require neuromodulation for management.
Invasive neuromodulation techniques carry risks and complications.

Purpose of the Study:

To review current data on noninvasive neuromodulation for cluster headache.
To evaluate the efficacy and safety of noninvasive devices.

Main Methods:

Review of studies utilizing noninvasive neuromodulation devices.
Analysis of clinical practice data and randomized trials.

Main Results:

Noninvasive vagal nerve stimulation demonstrated a reduction in cluster attack frequency.
The treatment was associated with a low incidence of mild adverse events.
Results stem from clinical practice and one randomized clinical trial.

Conclusions:

Noninvasive neuromodulation, specifically vagal nerve stimulation, presents a potentially easier alternative for intractable cluster headache.
Further controlled studies are needed to confirm efficacy and explore mechanisms of action.