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Evidence map · nVNS · migraine and cluster headache

nVNS for migraine and cluster headache: what the research shows

Non-invasive vagus nerve stimulation for migraine and cluster headache. 117 papers from 2013 to 2025, including 3 meta-analyses, 2 systematic reviews and 23 randomised controlled trials. Each study below links to its source.

117Papers in the corpus
3Meta-analyses
23Randomised controlled trials
48Open-access papers

Study design

Jev labels
Meta-analysis3Systematic review2RCT23Non-randomised trial16Cohort5Cross-sectional1Case series5Case report3

21 papers have no confident study-design label yet. Labels are AI-classified by Jev: advisory, not clinician-reviewed.

Papers over time

by publication year
158 201320192025

Most-cited trials and reviews

by citations
  1. 1

    Non-invasive vagus nerve stimulation for PREVention and Acute treatment of chronic cluster headache (PREVA): A randomised controlled study.

    RCTGaul et al. · 2016 · Cephalalgia : an international journal of headache · 176 citations · Open access
  2. 2

    Non-Invasive Vagus Nerve Stimulation for the ACute Treatment of Cluster Headache: Findings From the Randomized, Double-Blind, Sham-Controlled ACT1 Study.

    RCTSilberstein et al. · 2016 · Headache · 175 citations · Open access
  3. 3

    Noninvasive vagus nerve stimulation as acute therapy for migraine: The randomized PRESTO study.

    RCTTassorelli et al. · 2018 · Neurology · 173 citations · Open access
  4. 4

    Non-invasive vagus nerve stimulation for the acute treatment of episodic and chronic cluster headache: A randomized, double-blind, sham-controlled ACT2 study.

    RCTGoadsby et al. · 2018 · Cephalalgia : an international journal of headache · 121 citations · Open access
  5. 5

    Non-invasive vagus nerve stimulation (nVNS) for the preventive treatment of episodic migraine: The multicentre, double-blind, randomised, sham-controlled PREMIUM trial.

    RCTDiener et al. · 2019 · Cephalalgia : an international journal of headache · 119 citations · Open access
  6. 6

    Noninvasive vagus nerve stimulation for migraine: a systematic review and meta-analysis of randomized controlled trials.

    Meta-analysisSong et al. · 2023 · Frontiers in neurology · 44 citations · Open access
  7. 7

    Effects of non-invasive vagus nerve stimulation on attack frequency over time and expanded response rates in patients with chronic cluster headache: a post hoc analysis of the randomised, controlled PREVA study.

    RCTGaul et al. · 2017 · The journal of headache and pain · 41 citations · Open access
  8. 8

    Inter-ictal assay of peripheral circulating inflammatory mediators in migraine patients under adjunctive cervical non-invasive vagus nerve stimulation (nVNS): A proof-of-concept study.

    RCTChaudhry et al. · 2019 · Brain stimulation · 39 citations

Recent trials and reviews

last 3 years
  1. 1

    Noninvasive vagus nerve stimulation for migraine: a systematic review and meta-analysis of randomized controlled trials.

    Meta-analysisSong et al. · 2023 · Frontiers in neurology · 44 citations · Open access

Decision support only. This page summarises published literature; it is not medical advice or a recommendation for any patient. Study designs and topic labels are AI-classified by Jev: advisory, not clinician-reviewed. Abstracts are not reproduced here: follow the links to read each source. Data snapshot 2026-09-25.