Case 526 · ICHD-3 8.1.4.1

8.1.4.1 Immediate alcohol-induced headache

Origin

Synthetic

Language

English — also available in German

Contributed by

Imported case — HeadAI synthetic vignettes (de Andrade JBC, da Silva Costa TB, Vasconcelos JL, Lopes TLM, Balsells MD, Cristofolini VL, Querobin SO, Filho FMR. Validation of an AI-based platform for structured diagnosis of headache disorders using ICHD-3 criteria. BMC Neurology 25, 489 (2025). doi:10.1186/s12883-025-04473-1. Dataset: Andrade J. Head.AI Platform. Mendeley Data, V2 (2025). doi:10.17632/4fms6cw2s5.2)

Anamnesis

Identification: A 32-year-old male patient reports recurrent episodes of headache triggered immediately after the consumption of alcoholic beverages.

Clinical History:

Pain Characteristics: Bilateral headache, pulsatile or pressure-like, of moderate intensity, lasting up to 3 hours.

Temporal Profile: Onset within 3 minutes after alcohol ingestion (especially red wine).

Associated Factors: No nausea, photophobia, or phonophobia. Symptoms do not meet criteria for migraine.

Relief: Spontaneous improvement without analgesics.

Report this case — e.g. suspected re-identification risk.