Table 1.
Main features of the primary headaches treated with nVNS, modified from the ICHD-3, International Classification of Headache Disorders, 3rd edition.
Hemicrania continua | Paroxysmal hemicrania | SUNA | Primary cough headache | |
---|---|---|---|---|
Frequency | Persistent | >5 attacks/24 h | >1 attack/24 h | Unspecified |
Chrono-biology of headache | Present for >3 months | At least 20 attacks Episodic: At least two bouts lasting from 7 days to 1 year (when untreated) and separated by pain-free remission periods of >3 months Chronic: Occurring without a remission period or with remissions lasting <3 months, for at least 1 year |
Unspecified number Episodic: At least two bouts lasting from 7 days to 1 year (when untreated) and separated by pain-free remission periods of >3 months Chronic: Occurring without a remission period or with remissions lasting <3 months, for at least 1 year |
2 attacks |
Duration | Constant | 2–30 min | 1–600 s | 1 s–2 h |
Description | Strictly unilateral, with exacerbations of moderate or greater intensity | Severe unilateral orbital supraorbital and/or temporal pain | Moderate or severe unilateral head pain, with orbital, supraorbital, temporal, and/or other trigeminal distribution and occurring as single stabs, series of stabs, or in a saw-tooth pattern | Sudden onset. Induced by and occurring only in association with coughing, straining, and/or Valsalva manoeuvre |
Indomethacin response | Responds fully to therapeutic doses of indomethacin | NA | NA | |
Cranial-autonomic symptoms | At least one of the following, ipsilateral to the pain
|
NA | ||
Not better accounted for by another ICHD-3 |
nVNS, non-invasive vagus nerve stimulation; NA, not applicable.