Evidence map›Paper›PMID 24530613›Full record

ArticlePain2014

Noninvasive vagus nerve stimulation as treatment for trigeminal allodynia.

Michael L Oshinsky, Angela L Murphy, Hugh Hekierski, Marnie Cooper, Bruce J Simon

2 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Pain, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 84 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 3 pooled it
8.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04126408 nacompletednot on this mapstarted 2020, after this paper: background citation

Safety and Efficacy of Non-invasive Vagus Nerve Stimulation in the Treatment of Headache in Subarachnoid Hemorrhage

TypeinterventionalSponsorNorthwell HealthRan2020 to 2022Enrolled40ConditionsSubarachnoid Hemorrhage, AneurysmalArmsgammaCore
NCT04768738 nacompletednot on this mapstarted 2020, after this paper: background citation

The Effect Of Transcutaneous Auricular Vagus Nerve Stimulation On Sports Performance And Physiological Parameters In Healthy Young Individuals: Randomized, Double-Blind Study

TypeinterventionalSponsorSinop UniversityRan2020 to 2020Enrolled46ConditionsHealthy, Activity, MotorArmsAuricular Vagus Nerve Stimulation Level Of Above Threshold, Auricular Vagus Nerve Stimulation Level Of Subthreshold, Auricular Vagus Nerve Stimulation Sham Method, 5 Minutes Bicycle Exercise
3 · Its place in the literature

Who cites it

84 citing papers in PubMed, 3 syntheses or guidelines pooled it, 167 citations in OpenAlex.

  1. Non-invasive neuromodulation in the acute treatment of migraine: a systematic review and meta-analysis of randomized controlled trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Pooled it
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  7. Timing Considerations for Noninvasive Vagal Nerve Stimulation in Clinical Studies.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019
    Trial
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  15. Non-Invasive Vagus Nerve Stimulation in Cluster Headache: A Clinical Practice Guideline.Pain practice : the official journal of World Institute of Pain · 2025
    Review
  16. Hallmarks of primary headache: part 3 - cluster headache.The journal of headache and pain · 2025
    Review
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24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Michael L OshinskyThomas Jefferson University, Department of Neurology, Philadelphia, PA, USA Electrocore, LLC, Basking Ridge, NJ, USA.
Angela L Murphy
Hugh Hekierski
Marnie Cooper
Bruce J Simon
Thomas Jefferson University · US

Funding

Progression of Headache Associated with Recurrent Dural Inflammation (PI: MichaelR01NS061571 · NINDS · THOMAS JEFFERSON UNIVERSITY · PI OSHINSKY, MICHAEL L. · 2007 to 2011
$1.6M
NINDS NIH HHS R01 NS061571
6 · The paper itself

Abstract

Implanted vagus nerve stimulation (VNS) has been used to treat seizures and depression. In this study, we explored the mechanism of action of noninvasive vagus nerve stimulation (nVNS) for the treatment of trigeminal allodynia. Rats were repeatedly infused with inflammatory mediators directly onto the dura, which led to chronic trigeminal allodynia. Administration of nVNS for 2 minutes decreased periorbital sensitivity in rats with periorbital trigeminal allodynia for up to 3.5 hours after stimulation. Using microdialysis, we quantified levels of extracellular neurotransmitters in the trigeminal nucleus caudalis (TNC). Allodynic rats showed a 7.7±0.9-fold increase in extracellular glutamate in the TNC after i.p. administration of the chemical headache trigger glyceryl trinitrate (GTN; 0.1 mg/kg). Allodynic rats that received nVNS had only a 2.3±0.4-fold increase in extracellular glutamate after GTN, similar to the response in control naive rats. When nVNS was delayed until 120 minutes after GTN treatment, the high levels of glutamate in the TNC were reversed after nVNS. The nVNS stimulation parameters used in this study did not produce significant changes in blood pressure or heart rate. These data suggest that nVNS may be used to treat trigeminal allodynia.

Indexed as

AnimalsDura Matergamma-Aminobutyric AcidGlutamic AcidHeadacheHyperalgesiaMaleMicrodialysisNitroglycerinProstaglandinsRatsRats, Sprague-DawleyTreatment OutcomeTrigeminal NeuralgiaVagus Nerve Stimulationgamma-Aminobutyric AcidGlutamic AcidNitroglycerinProstaglandinsChronic headacheGlutamateMigraineVagus nerve

Identifiers

PMID24530613
PMCPMC4025928
OpenAlexW1978847367

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.