8.1.6 Cocaine-induced headache

Headache caused by adminstration of cocaine by any route.

Diagnostic criteria:
A. Any headache fulfilling criterion C
B. Cocaine has been administered by any route
C. Evidence of causation demonstrated by all of the following:

    1. headache has developed within 1 hr of cocaine administration
    2. headache has resolved within 72 hr 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

D. 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).