Immediate alcohol-induced headache

Previously used term:

Cocktail headache.

Diagnostic criteria:
  1. Any headache fulfilling criterion C
  2. Alcohol has been ingested
  3. Evidence of causation demonstrated by all of the following:
    1. headache has developed within 3 hours of alcohol ingestion
    2. headache has resolved within 72 hours after alcohol ingestion has ceased
    3. headache has at least one of the following three characteristics:
      • a) bilateral
      • b) pulsating quality
      • c) aggravated by physical activity
  4. Not better accounted for by another ICHD-3 diagnosis.
Comment: Immediate alcohol-induced headache is much rarer than Delayed alcohol-induced headache. The effective dose of alcohol to cause the former is variable; in people with 1. Migraine it can sometimes be very small while at other times they may tolerate alcohol at the same level as non-migraineurs.