A complex symptomatic complex characterized by trophic, endocrine, autonomic and metabolic disorders, developing against the background of damage to the hypothalamic region, is called hypothalamic syndrome, according to Pannochka, an Internet publication for girls and women from 14 to 35 years old.. net The following forms of the disease are distinguished:.

Vegetative-vascular;

Diencephalic (hypothalamic) epilepsy;

Neurotrophic;

Violation of thermoregulation;

Pseudo-neurasthenic;

Psychopathological;

Neuromuscular;

Sleep and wakefulness disorders.

Most often in medical practice there is a vegetative-vascular form - 32%, a syndrome with a predominance of metabolic-endocrine disorders is detected among 27% of patients with hypothalamic syndrome, 10% of patients find themselves with a neuromuscular form, and 4% - with a violation of thermoregulation.

Possible complications of the symptomatic complex are gynecomastia, ovarian degeneration, and myocardial dystrophy..

Causes of the hypothalamic syndrome The disease can occur against the background of craniocerebral trauma, acute and chronic neuroinfection and intoxication, cerebral circulation failure, chronic diseases and endocrine disorders of internal organs. Also, the causes of hypothalamic syndrome can be brain tumors, psychological trauma, stress, mental strain and alcohol poisoning.

Symptoms of the hypothalamic syndrome The most common symptoms of hypothalamic syndrome are:.

Vegeto-vascular neuroendocrine disorders;

Sleep and wakefulness disorder;

Violation of thermoregulation and excessive sweating;

Increased fatigue and general weakness;

Feeling short of air;

Unstable stool;

Pain in the region of the heart and pulse lability;

Tachycardia and BP asymmetry;

Tremor of the fingers of outstretched arms and eyelids;

Propensity for allergic reactions;

Severe dermographism and emotional disturbances.

Often, changes in weather conditions, emotional stress, pain factors and menstruation, provoke vegetative-vascular paroxysms in hypothalamic syndrome. Such attacks generally begin closer to night, nothing foreshadows their onset, last on average from 15 minutes to 3 hours or more. The majority of patients with hypothalamic syndrome have hyperinsulinism with impaired glucose tolerance, as well as impaired water-salt and fat metabolism.

Hypothalamic syndrome of puberty Clinical expression of impaired adrenocorticotropic function of the pituitary gland is hypothalamic syndrome of puberty.

Usually, the cause of the onset of the disease cannot be established, however, frequent sore throats, chronic intoxication and infections in childhood, birth trauma, and excessive alcohol consumption in adolescence play a significant role in the development of the syndrome.

Hypothalamic syndrome of puberty develops in children aged 12-15 years, less often in 17-19 years, more often in females. Patients in the period from 11 to 13 years old begin to grow vigorously, this feature is especially noticeable in young men who very quickly overtake their peers in growth..

Symptoms of the hypothalamic syndrome of puberty are as follows:.

Frequent headaches;

Thirst;

Increased fatigue;

Overweight;

Neuropsychiatric disorders - tearfulness, depression and irritability;

Persistent increase in blood pressure;

Insatiable hunger;

Transient hypertension;

Hyperkeratosis in places of friction of clothing, in the lumbar region, cervical folds, the outer surface of the shoulders and elbow joints;

Disruption of the menstrual cycle.

Fat deposition mainly occurs in the area of \u200b\u200bthe mammary glands, buttocks, pubis and shoulder girdle, which makes the neck look thick and short, the patient's shoulders rise, the face becomes rounded, and a pathological blush appears on the cheeks.

In patients with pubertal hypothalamic syndrome, skin trophism is disturbed, it acquires a marble-cyanotic color and becomes cold to the touch, especially in the thighs and buttocks. Often in the abdomen, shoulders, mammary glands, chest and buttocks, reddish, less often purple-cyanotic, stretch stripes are formed.

Girls develop secondary sexual characteristics ahead of schedule, boys' appearance becomes effeminate, facial hair does not grow at all, or very poorly, even after the end of puberty.

Diagnostics of the hypothalamic syndrome. The doctor must determine the etiology of the hypothalamic syndrome and the leading component of the disease, the results of the Zimnitsky test and the sugar curve, electroencephalography and thermometry at three points are of particular importance in diagnosis. To clarify the diagnosis, ultrasound and computed tomography of the adrenal glands are also needed..

Treatment of hypothalamic syndrome After confirming the diagnosis, the doctor proceeds to the selection of adequate therapy. The basis for the treatment of hypothalamic syndrome is the use of a number of drugs, namely:.

Means, the action of which is aimed at treating the underlying disease;

Selectively affecting the state of parasympathetic and sympathetic tone - Bellaspon, Pirroxan, Obzidan, Platiphyllin, ganglion blockers and belladonna drugs;

Antidepressants and Anxiolytics;

Glucose, Hemodeza and isotonic sodium chloride solution (for detoxification of the body);

Fortifying agents.

Recently, the method of acupuncture has become increasingly popular in the treatment of hypothalamic syndrome, since its effectiveness is confirmed by the results of many patients.

If the disease is accompanied by a violation of carbohydrate metabolism, the patient is prescribed a special diet, vitamin therapy, anorexants and biguanides.

Also, the treatment of hypothalamic syndrome should include limiting the mental and physical overstrain of the patient, excluding wakefulness at night, under the supervision of a doctor, the patient should carry out therapeutic exercises and attend physiotherapy.

Hypothalamic syndrome is a complex symptom complex arising from traumatic brain injury, stress, mental strain, endocrine disorders, etc.. The diagnosis and treatment of the disease should be carried out by a neurologist, it is important to know that self-medication can lead to irreversible consequences.

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