Society guideline links: Migraine and other primary headache disorders

Introduction — This topic includes links to society and government-sponsored guidelines from selected countries and regions around the world. We will update these links periodically; newer versions of some guidelines may be available on each society's website. Some societies may require users to log in to access their guidelines.

The recommendations in the following guidelines may vary from those that appear in UpToDate topic reviews. Readers who are looking for UpToDate topic reviews should use the UpToDate search box to find the relevant content.

Links to related guidelines are provided separately. (See "Society guideline links: Adult with headache in the emergency department".)

International

●International Neuromodulation Society (INS)-North American Neuromodulation Society (NANS): Expert consensus panel review and recommendation on transcranial magnetic stimulation for pain, headache, and comorbid depression (2020)

●European Academy of Neurology (EAN) and World Health Organization (WHO): Guideline on trigeminal neuralgia (2019)

●European Headache Federation (EHF) and WHO: Consensus article on aids to management of headache disorders in primary care, 2nd edition (2019)

●International Headache Society (IHS): International classification of headache disorders, 3rd edition (2018)

Canada

●Choosing Wisely Canada: Don't do imaging for uncomplicated headache unless red flags are present (updated 2022)

●Choosing Wisely Canada: Don't use opioids for treatment of migraines (updated 2022)

●Choosing Wisely Canada: Canadian Headache Society (CHS) – Four tests and treatments to question (updated 2020)

●International Neuromodulation Society (INS)-North American Neuromodulation Society (NANS): Expert consensus panel review and recommendation on transcranial magnetic stimulation for pain, headache, and comorbid depression (2020)

●Toward Optimized Practice (TOP) and Institute of Health Economics (IHE): Clinical practice guideline for primary care management of headache in adults, 2nd edition (2016)

●CHS: Systematic review and recommendations on the treatment of migraine pain in emergency settings (2014)

●CHS: Guideline on acute drug therapy for migraine headache (2013)

●CHS: Guideline for migraine prophylaxis (2012)

United States

●US Department of Veterans Affairs/Department of Defense (VA/DoD): Clinical practice guideline for management of headache (2023)

●American Academy of Neurology (AAN): Practice guideline on botulinum neurotoxin for the treatment of blepharospasm, cervical dystonia, adult spasticity, and headache, update (2016, reaffirmed 2022)

●AAN: Practice parameter – The electroencephalogram in the evaluation of headache (1995, reaffirmed 2022)

●AAN and American Headache Society (AHS): Evidence-based guideline – Pharmacologic treatment for episodic migraine prevention in adults, update (2012, reaffirmed 2022)

●AAN and AHS: Practice guideline – Acute treatment of migraine in children and adolescents, update (2019, reaffirmed 2022)

●AAN and AHS: Practice guideline – Pharmacologic treatment for pediatric migraine prevention, update (2019, reaffirmed 2022)

●AAN and Child Neurology Society (CNS): Practice parameter – Evaluation of children and adolescents with recurrent headaches (2002, reaffirmed 2022)

●American College of Radiology (ACR): ACR Appropriateness Criteria on headache (revised 2022)

●AHS: Consensus statement on integrating new migraine treatments into clinical practice, update (2021)

●International Neuromodulation Society (INS)-North American Neuromodulation Society (NANS): Expert consensus panel review and recommendation on transcranial magnetic stimulation for pain, headache, and comorbid depression (2020)

●American College of Emergency Physicians (ACEP): Clinical policy – Critical issues in the evaluation and management of adult patients presenting to the emergency department with acute headache (2019)

●ACR: ACR Appropriateness Criteria on headache – Child (revised 2017)

●AHS: Evidence-based guidelines for the treatment of cluster headache (2016)

Europe

●European Academy of Neurology (EAN): Guidelines on the treatment of cluster headache (2023)

●EAN and World Health Organization (WHO): Guideline on trigeminal neuralgia (2019)

●European Headache Federation (EHF) and WHO: Consensus article on aids to management of headache disorders in primary care, 2nd edition (2019)

●EHF: Guideline on the use of monoclonal antibodies acting on the calcitonin gene related peptide or its receptor for migraine prevention (2019)

●European Medicines Agency (EMA) and EHF: Overview of the latest clinical recommendations on valproate use for migraine prophylaxis in women of childbearing age (2018)

●EHF: Consensus on technical investigation for primary headache disorders (2016)

●EHF: Position statement on neuromodulation of chronic headaches (2013)

●European Federation of the Neurological Societies (EFNS): Guidelines on neurophysiological tests and neuroimaging procedures in non-acute headache, 2nd edition (2011)

●EFNS: Guidelines for the treatment of miscellaneous idiopathic headache disorders (group 4 of the IHS classification) (2011)

●EFNS: Cluster headache and other trigemino-autonomic cephalgias (2010)

●EFNS: Guideline on the treatment of tension-type headache (2010)

●EFNS: Guidelines on the molecular diagnosis of channelopathies, epilepsies, migraine, stroke, and dementias (2010)

●EFNS: Guideline on the drug treatment of migraine (2009)

United Kingdom

●Scottish Intercollegiate Guidelines Network (SIGN): A national clinical guideline for the pharmacological management of migraine (2018, revised 2023)

●National Institute for Health and Care Excellence (NICE): Interventional procedures guidance for transcutaneous electrical stimulation of the supraorbital nerve for treating and preventing migraine (2022)

●NICE: Clinical guideline on headaches in over 12s – Diagnosis and management (2012, updated 2021)

●British Association for the Study of Headache (BASH): National headache management system for adults (2019)

●NICE: Medical technologies guidance on gammaCore for cluster headache (2019)

●Choosing Wisely UK: Royal College of Physicians (RCP) – Patients with suspected migraine mostly don't need brain imaging (2018)

●NICE: Interventional procedures guidance for transcutaneous stimulation of the cervical branch of the vagus nerve for cluster headache and migraine (2016)

●NICE: Interventional procedures guidance for implantation of a sphenopalatine ganglion stimulation device for chronic cluster headache (2015)

●NICE: Interventional procedures guidance for transcranial magnetic stimulation for treating and preventing migraine (2014)

●NICE: Interventional procedures guidance for occipital nerve stimulation for intractable chronic migraine (2013)

●NICE: Quality standard on headaches in over 12s (2013)

●NICE: Interventional procedures guidance for deep brain stimulation for intractable trigeminal autonomic cephalalgias (2011)

●Royal College of General Practitioners (RCGP) and BASH: Guidance for the management of headache in sport (2011)

●NICE: Interventional procedures guidance for percutaneous closure of patent foramen ovale for recurrent migraine (2010)

Australia–New Zealand

●Royal Children's Hospital (RCH): Clinical practice guidelines on headache (updated 2022)

●Choosing Wisely Australia: Do not routinely undertake neuroimaging for new onset primary headache without first examining for neurological abnormality (2018)

●Choosing Wisely Australia: Don't perform imaging of the brain for non-acute primary headache disorders (2016)

●Choosing Wisely Australia: Don't use opioids for the treatment of migraine, except in rare circumstances (2016)

Japan

●[In Japanese] Japanese Society of Neurology (JSN), Japanese Headache Society (JHS), and Japanese Society of Neurological Therapeutics (JSNT): Clinical practice guideline for headache disorders (2021)

●[In Japanese] JHS: Home oxygen therapy (HOT) guidelines for cluster headache (2018)

●[In Japanese] Choosing Wisely Japan: Suppressing recurring headaches with painkillers – When it's necessary and when it's not (2015)

●[In English] JSN and JHS: Clinical practice guideline for chronic headache (2013)