8.1.5 Cocaine-induced headache


Headache developing within 1 hour of, and caused by, administration of cocaine by any route. It resolves spontaneously within 72 hours.

Diagnostic criteria:
  1. Any headache fulfilling criterion C
  2. Cocaine has been administered by any route
  3. Evidence of causation demonstrated by all of the following:
    1. headache has developed within 1 hour of cocaine administration
    2. headache has resolved within 72 hours after cocaine administration
    3. headache has at least one of the following four characteristics:
      • a) bilateral
      • b) mild to moderate intensity
      • c) pulsating quality
      • d) aggravated by physical activity
  4. Not better accounted for by another ICHD-3 diagnosis.

The principal routes of cocaine administration are oral (“chewing”), intranasal (“snorting”), intravenous (“mainlining”) and inhalation (smoking).