8.1.4.2 Delayed alcohol-induced headacheHartmut Gobel2018-01-31T11:10:04+00:00

Previously used term:

Hangover headache.

Description:

Headache caused, after a delay of hours, by ingestion of alcohol (usually in the form of alcoholic beverages). It resolves spontaneously within 72 hours.

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 5-12 hours after ingestion of alcohol
   2. headache has resolved within 72 hours of onset
   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:

8.1.4.2 Delayed alcohol-induced headache is one of the commonest secondary headaches. Whether the delayed headache is a toxic effect or a manifestation of mechanisms similar to those in 8.1.1.2 Delayed NO donor-induced headache is an unresolved question.