We measured platelet-rich plasma (PRP) serotonin in patients suffering
from tension-type headache, before and after treatment with amitripty
line, comparing them with a healthy control group and patients with un
treated depression. We evaluated the severity of headache and depressi
on in each group. PRP serotonin levels were higher in patients with he
adache than in controls and depressed patients. We observed a fall of
PRP serotonin in patients with tension-type headache to similar levels
after treatment as the depressed group. This fall was correlated with
the improvement of headache but not with depression scales. Our data
suggest that the rise of platelet serotonin levels in tension-type hea
dache is related to pain and not depression.