Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 126
We conclude that the visceral disturbances are Etiologies to Migraines, and the Migraines from
other etiologies can cause visceral disturbances, as sneezing, cough, nausea, retching and vomit.
We found that caffeine worsens them all.
XI- 17) – Glaucomatous Familial Inheritance:
From the 931 migraine patients with some migraine, we found 26 patients (2.8%) who referred
Glaucomatous relatives.
These 26 patients with Glaucomatous Familial Inheritance complained about:
- 10 patients (39%) with wide frontal Migraines;
- 8 patients (31%) with tearfulness and Rhinitis;
- 8 patients (31%) worsened on awakening;
- 7 patients (27%) with ocular migraines;
- 3 patients (12%) presented nausea and retching or vomits;
- 3 patients (12%) presented eyelids edemas;
- In addition, there were other lesser signs or symptoms.
- Three generations with Glaucoma and Migraines: We had three generations of patients from the
same family, who presented assorted headaches, migraines, rhinitis, sinusitis, menstrual tension, tearfulness,
photophobia, nausea, eyes aches and itching. They were five women, mullatas. The grandmother
with 75-year-old, presented open angle glaucoma since her thirties, suffered anti-glaucoma
surgeries in both eyes when she had forties, and one eye now is blind. Two daughters with 44 and 48
years-old, with optic Nerve’s cups right and left eyes of 6/3/1/0 and 0.5/2/1/0 the younger, and
0.8/4/1/0.25 and 0.7/3/0/0.5 the older (Cup diameter/ cup depth/ lamina cribosa pores visibility/ borders
edema). The younger is a suspect of glaucoma, but the older has advanced and incipient glaucomas,
besides raised Cerebrospinal fluid pressure. Two grand-daughters with 16 and 21-year-old, both
with myopia around 4 diopters, intraocular pressures of 22 and 24 mmHg the younger, and 18 and 18
mmHg the older. Their Optic Nerve’s cups were 0.3/1/0/0.25 and 0.4/2/0/0.25 the younger, and the
older 0.4/2/0/0.25 and 0.8/2/0/0.25. These Optic Nerve’s cups are not glaucomatous yet, but their migraines,
raised intraocular pressures, heredity and all the other alternative signs and symptoms, show
their glaucomatous future whether they keep this way. All of them were drinkers of caffeine, as coffee,
caffeinated soft drinks, tea, or caffeinated analgesics. Each one of them also drank 1,500 to 3,000 milliliter
of water daily. All of them became better shortening their water and caffeinated drinks, and medicating
with anti-glaucoma eye drops.
We found On the examination in these patients with Glaucomatous Familial Inheritance:
- 10 patients (38.5%) with minimal (0.25 diopters) Optic Nerve’s edema;
- 4 patients (15.4%) with evident ON’ edema;
- 7 patients (26.9%) suspects of Glaucoma;
- 3 patients (11.5%) with incipient glaucoma;
- 2 patients (7.7%) with advanced glaucoma;
- 2 women (7.7%) with 60 and 67-year-old with intraocular pressures of 20/22 and 20/18 mmHg in
Right and Left eyes, but without glaucoma.
- Only 1 patient (3.8%) did not present any of the above signs or symptoms.
The increased risk of Migraines in first-degree relatives of Migraine patients has been demonstrated
by other authors (Østergaard S, and others).
“These and other data suggest that the genetic contribution to migraine is complex, multifactorial,
and subject to significant modification by environmental factors.” (Gardner KL).
“Risk indicators of open-angle glaucoma correlate highly in families, and the patterns are consistent
with the hypothesis of genetic determinants of these factors.” (Klein B E K, and others).