Table 1

Non-invasive vagal nerve stimulation in chronic paroxysmal hemicrania

Patient number12345678
Age5252282043448163
SexMaleMaleMaleFemaleFemaleMaleMaleFemale
Duration of CPH (years)31136221185
Headache characteristics at diagnosis
Frequency8–12/day6–8/day5–9/day4–13/day10–20/day5–20/day4–12/day5–12/day
Severity (VRS)105–107–108–106–104–8108–10
Duration (min)15–3015–4515–6015–1205–905–1205–205–45
Median duration (min)2020252010301515
Indometacin dose225 mg100 mg225 mg75 mg225 mg225 mg100 mg225 mg
Side effects from indometacinSevere lethargycolitisSevere gastrointestinal upsetSevere gastrointestinal upsetSwollen ankles and marked lethargySevere gastrointestinal upsetDuodenal ulcerSevere gastrointestinal upset
Preventive treatments failed34334531
Duration of use of VNS (months)1910667573
Baseline headaches (1 month pre-VNS)
Frequency5–10/day2–3/day5/day1–2/day5/day2/day4–5/day2–5/day
Severity (VRS)102–67–88–104–85–9109–10
Duration (min)20–3030–9045–6015–1205–8060–12015–2030–45
Follow-up at 3 months
Frequency2–3 week1/day2/week5/month1/day1–2/day02–5/day
Severity (VRS)5–62–34–55–91–21–209–10
Duration (min)15–2030–6020–305–205–3030–60030–45
Follow-up at 6 months
Frequency1/week1/day2/week5/month0N/A0N/A
Severity (VRS)6–72–44–55–90N/A0N/A
Duration (min)15–2030–6020–305–200N/A0N/A
Last follow-up
Frequency1/week1/day2/week5/month01-2/day02–5/day
Severity (VRS)6–72–44–55–901–209–10
Duration (min)2030–6020–305–20030–60030–45
HIT-6
Baseline7059697450484074
3 months6055593146483676
6 months6554593036N/A36N/A
Last follow-up66545930364836N/A
MIDAS
Baseline215190718100105
3 months4516768000120
6 months18578670N/A0N/A
Last follow-up1457867000N/A
HADS-A
Baseline291217202118
3 months66418190017
6 months5601919N/A0N/A
Last follow-up360191900N/A
HADS-D
Baseline361414162115
3 months1571490016
6 months350159N/A0N/A
Last follow-up651515900N/A
Patients estimate of improvement70%70%90%80%100%65%100%0%
  • CPH, chronic paroxysmal hemicrania; HADS-A/D, Hospital Anxiety and Depression Scale—Anxiety/Depression; HIT-6, Headache Impact Test-6; MIDAS, Migraine Disability Assessment; N/A, no data available; VNS, vagus nerve stimulation; VRS, verbal rating scale (0–10; 0 pain free, 10 very severe pain).