HEADACHE CLINICAL PICTURE, DIAGNOSIS AND THERAPY OF PATIENTS WITH HYPOTHALAMIC SYNDROME

190 patients with hypothalamic insufficiency were investigated. The ch aracter, frequency of various forms of headache as well as its correla tion with neuroendocrinic emotional motivation and vegetative disorder s were analysed. It was found that headache occurred more frequently i n patients with hypothalamic insufficiency (66%) than in the whole pop ulation (5 - 20%). This confirms the role of diencephalic disfunction in its genesis. Psychovegetative disturbances were expressed most of a ll in tension-type headache (TTH). Very likely that some psychoendocri ne mechanisms (particularly depression and idiopathic edema) play impo rtant role in pathogenesis of TTH. Clinical effect of Lerivon confirms the pathogenetic role of depression in these cases.