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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 140<br />

- Curing all aches (caused by caffeine and excessive water) at one time: We had a 42-year-old<br />

white man, 1.83 meters (6 feet) tall, 125 Kilograms (275 pounds) of weight, fine plastic arts teacher.<br />

He was complaining of aches in his eyes when reading or working; aches at upper nose, bi-temporal<br />

and occipital on awakening; backaches, obstructive rhinitis and aches on his left knee at any hour. He<br />

also presented occasional darkening of his right side of vision, for some seconds each time. He was<br />

drinking coffee 700 milliliter (one and a half pint), mate 1,500 milliliter (near half gallon) and water<br />

3,900 milliliter (more than a gallon) daily. On the examination, we found that he needed eyeglasses for<br />

near vision; he presented intraocular pressures of 16 and 16 mmHg (physiologic) and physiologic anterior<br />

chambers. His Optic Nerves on direct ophthalmoscopy presented 0.5/3/1/0.25 at both eyes (cup<br />

diameter/ cup depth/ Lamina cribosa's pores visibility/ borders edema). All of this configures a<br />

Cerebrospinal Fluid <strong>Hypertension</strong> Syndrome (even with small Optic Nerve’s borders edema), together<br />

with some Ocular <strong>Hypertension</strong> Syndrome. We prescribed his new eyeglasses, to stop all caffeine, and<br />

to reduce the excessive water drank.<br />

After one month, he returned 2 Kilograms (4.4 pounds) lighter and without any of the previous symptoms,<br />

to show us his new eyeglasses. His intraocular pressures were 14 and 14 mmHg, a little smaller<br />

than before. As he cured from all complaints, he probably will only needs medical advice again when<br />

he will need new eyeglasses again.<br />

We conclude that all the above Risk Factors can raise the Intraocular, Cerebrospinal fluid and<br />

Inner ears fluids’ pressures. When the patient has two or three risk factors together, they cause<br />

the migraines of the <strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong>, and so they become Etiologies.<br />

The Caffeine effect on the Cerebrospinal Fluid <strong>Hypertension</strong> Syndrome <strong>Migraines</strong>:<br />

As caffeine was the main migraine’s etiology on our patients, in order to detect its influence in the<br />

Cerebrospinal <strong>Hypertension</strong> Syndrome, we made the same above statistic removing all patients that<br />

drank any amount of caffeine, as in coffee, tea, or soft drinks.<br />

We found (Table XI-6):<br />

Cerebrospinal Fluid’s<br />

<strong>Hypertension</strong> Syndrome<br />

<strong>Migraines</strong>, Variants, Signs and<br />

Symptoms<br />

Patients with Optic Nerve’s Borders Edema<br />

from all etiologies<br />

Only with 0.25 diopters of<br />

Optic Nerve’s edema<br />

With Caffeine<br />

Without<br />

Caffeine<br />

0.5 diopters or more of<br />

Optic Nerve’s edema<br />

With<br />

Caffeine<br />

Without<br />

Caffeine<br />

1. Patients with edema of one or both<br />

Optic Nerve’s disks borders<br />

539 (100%) 311 (100%) 243 (100%) 95 (100%)<br />

2. Patients with any Migraine, sign or<br />

symptom<br />

428 (79.4%) 212 (68.2%) 210 (86.4%) 73 (76.8%)<br />

3. Patients without any migraine 111 (20.6%) 99 (31.8%) 33 (13,6%) 22 (23.2%)<br />

4. Wide Frontal Migraine 175 (32.5%) 79 (25.4%) 90 (37%) 30 (31.6%)<br />

5. Worsened at morning 139 (25.8%) 56 (18.0%) 75 (30.9%) 21 (22.1%)<br />

6. Rhinitis with coryza (rhinorrhea)<br />

and Tearful (added)<br />

114 (21.2%) 45 (14.5%) 51 (21%) 20 (21.1%)<br />

7. Itching eyes and Blepharitis (added)<br />

110 (20.4%) 51 (16.4%) 51 (21%) 16 (16.8%)<br />

8. Temporal or Head-top (vertex) <strong>Migraines</strong><br />

94 (17.4%) 36 (11.6%) 57 (23.5%) 16 (16.8%)<br />

9. Ocular ache or weight 89 (16.5%) 43 (13.8%) 38 (15.6%) 12 (12.6%)

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