Onderwater GLJ, et al. - In this cross-sectional, web-based, questionnaire study, researchers evaluated self-reported alcohol consumption as a migraine attack trigger and examined the impact on alcohol consumption behavior in a large migraine cohort. Participants included 2197 patients with migraine from the well-defined Leiden University MIgraine Neuro-Analysis (LUMINA) study population. Alcoholic beverages, particularly red wine (77.8% of participants), are recognized by migraine patients as a trigger factor and have a significant effect on the behavior of alcohol consumption. It was noted that time of onset was rapid (<3 h) in one-third of patients and almost 90% had an onset <10 h independent of the type of beverage. The low consistency of provocation indicates that alcoholic drinks acting as a singular trigger is insufficient and might depend on a fluctuating trigger threshold.