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

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<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 129<br />

XI- 19) – Emotional Stress:<br />

It caused the raise of intraocular pressure and consequent <strong>Migraines</strong> some hours after the stress or at<br />

the next morning.<br />

We had six Migraine patients, five men and only one woman, with this Emotional Stress etiology.<br />

Their average age was 41.8 years.<br />

These six patients with Emotional Stress also presented other etiologies together with this one:<br />

- 5 patients (83%) drinking excessive water daily,<br />

- 4 patients (67%) drinking coffee (3 patients) or tea (1 patient);<br />

- 2 patients (33%) drinking caffeinated soft drinks, besides the coffee they drank;<br />

- 1 patient (17%) drinking medications that raise the fluids pressures;<br />

- 1 patient (17%) drinking beer.<br />

These six patients with Emotional Stress migraines, complained about:<br />

- 3 patients (50%) with ocular migraines;<br />

- 3 patients (50%) with temporal or head-top (vertex) migraines;<br />

- 2 patients (33%) worsen their migraines at morning;<br />

- 1 patient (17%) with occipital migraines, diagnosed as Muscle Contraction (Tension) Migraine.<br />

- 1 patient (17%) with wide frontal migraines;<br />

- 1 patient (17%) with photophobia;<br />

- 1 patient (17%) with nausea and retching and vomiting;<br />

- 1 patient (17%) with eyes redness;<br />

- 1 patient (17%) with miosis in both eyes.<br />

These patients with Emotional Stress presented On the examination:<br />

- 3 patients (50%) with minimal (0.25 diopters) Optic Nerves’ borders edema;<br />

- 2 patients (33%) with evident (0.5 diopters) Optic Nerves’ borders edema;<br />

- 1 of the above patients (16%) also with suspicion of glaucoma;<br />

- 1 patient (16%) with incipient Glaucoma.<br />

- No patient was without any of the above pathologies.<br />

We suppose that the physical stress which causes the Uhthoff phenomenon on the Multiple Sclerosis<br />

patients is similar to the emotional stress. Probably, the excess of Adrenaline (Epinephrine) and its toxicity<br />

causes both of them.<br />

“The Uhthoff phenomenon is an exacerbation of the patient's symptoms when exercising or when<br />

exposed to temperature change. The most notable symptoms affected by the Uhthoff phenomenon are<br />

transient visual obscurations, dyschromatopsia, and contrast sensitivity changes. The symptoms tend to<br />

resolve with restoration of euthermic conditions. Most symptoms of the Uhthoff phenomenon resolve<br />

from within 60 minutes to 24 hours.” (Lee AG and Costello F).<br />

We conclude that Emotional Stress migraines affect mainly men.<br />

We conclude that in all men with <strong>Migraines</strong> and emotional stress, there was relation with excessive<br />

drinks of water or caffeine. The only patient without this relation was the only woman.<br />

We conclude that the neck muscle contraction is a reaction to the occipital (Tension) <strong>Migraines</strong>.<br />

Below we present the etiologies of the <strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> and respective migraines<br />

and diseases, which we did not make statistics about them:<br />

XI- 20) – After cranial damage (only for the Cerebrospinal Fluid <strong>Hypertension</strong> Syndrome) (Intracranial<br />

hypertension - Benign intracranial hypertension):<br />

On these 1,270 patients, we had only two patients, one post-meningitis with migraines, and one postcerebral<br />

vascular stroke with Optic Nerves borders giant edema, which are denominated as Pseudotumor<br />

cerebri or Benign intracranial hypertension.

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