Hangover headache. Prevalence: Vågå study of headache epidemiology

Bakketeig

2004

J Headache Pain

Self Cite

As part of the Vågå study of headache epidemiology, the symptomatology of hangover headache has been studied in 1122 parishioners in the age group 18–65 years; male/female ratio 1.14. The following criteria for hangover headache were adhered to: (1) intoxication by alcohol, (2) headache, and (3) onset of headache >3 hours after discontinuation of drinking. As demonstrated elsewhere, headache was present in 64% of the cases. Throbbing was present in 85% of those affected, nausea in 60% and vomiting in 25%, with significant male preponderance for all three. Photo- and phonophobia were more rarely present. Not only does hangover headache seem to be more frequent in males—as previously demonstrated; it also seems to be more severe in males. Ninety per cent of the hangover headache victims felt that the gastro-intestinal symptoms originated in the gastro-intestinal tract and were not secondary to the headache.

Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Hangover headache: accompanying symptoms. Vågå study of headache epidemiology

Bakketeig

2004

J Headache Pain

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Hangover headache: various manifestations and proposal for criteria. Vågå study of headache epidemiology

Bakketeig

2004

J Headache Pain

Self Cite

IntroductionHangover headache is a well-known and characteristic manifestation of alcohol consumption. It appears in the wake of a drinking bout, when the blood alcohol concentration is falling (IHS code 8.3.1 [1]). There are few detailed descriptions of the panorama of manifestations of hangover headache in headache literature. The complaints during attack mainly seem to pertain to two major symptom categories: headache and gastro-intestinal (g-i) upset. The g-i discomfort in hangover headache in Vågå has been described elsewhere [2].In the present communication, particular attention will be paid to localisation, duration and intensity of the headache. The connection between red wine and headache will also be touched upon. The symptomatology of hangover headache in the Vågå study will be compared with the description given by Raskin [3]. Finally, we will propose criteria for hangover headache. J Headache Pain (2004) 5:230-236 DOI 10.1007 Hangover headache: various manifestations and proposal for criteria. Vågå study of headache epidemiology Abstract Hangover headache has been focused upon in connection with the Vågå study of headache epidemiology, with 714 cases among 1122 dalesmen (64%). Most frequently the headache was global in location. It was more frequently located in the anterior (frontotemporal) than occipital area. A unilateral headache was present in only 3% of the dalesmen, many of whom were migraineurs. Headache seemed to be more intense in males than females. Headache usually seemed to be of a lower intensity than the pain of migraine, but higher than, or similar to, that of tension-type headache. The headache appeared late in the night/early morning hours, i.e., several hours after discontinuation of drinking. In most cases, headache stopped in the late morning hours, or at high noon, but it could even last until somewhat late in the afternoon; it rarely, if ever, exceeded 12 hours duration. Red wine seemed mostly to provoke headache the same evening (with traits similar to those of the spontaneously occurring headache attacks). Criteria for hangover headache are proposed.

Cervicogenic Headache: Comparison with Migraine Without Aura; Vågå study

2008

Cephalalgia

This prospective cohort study examined whether work stress, as indicated by the job strain model and the effort-reward imbalance model, predicts new-onset migraine among 19,469 female employees with no history of migraine at study entry. A baseline survey between 2000 and 2002 assessed work stress and demographic factors. Self-reported newly diagnosed migraine was measured at follow-up between 2004 and 2005 and 1281 new cases of migraine were detected. In logistic regression analysis adjusted for age, socioeconomic position and depression at baseline, no association between job strain and migraine was found. In contrast, high effort-reward imbalance was associated with slightly increased risk of migraine at follow-up, odds ratio 1.23 (95% confidence interval 1.04, 1.45). The proportion of new migraine cases attributable to high effort-reward imbalance was 6.2%. If the observed association is causal, our findings suggest that high effort-reward imbalance might function as a modifiable risk factor for new-onset migraine.