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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 174
First-of-Ramadan headache: “Headaches were reported by 37 (41%) of the 91 persons who had
fasted as compared to 2 (8%) of those 25 who did not fast. The headache was of tension type in 78% of
the cases… The most important exogenous-associated factor was caffeine withdrawal. A progressive
reduction of caffeine consumption in the weeks preceding the month of Ramadan and a cup of strong
coffee just before the start of the fast may prevent the occurrence of first-of-Ramadan headache.”
(Awada A, and Jumah M).
The Cerebrospinal Fluid Hypertension Syndrome Migraines:
To better study the patients with Benign Intracranial Hypertension’s Migraines, we selected the 782
patients with any Optic Nerve’s Disk borders edema, even as low as 0.25 diopters. Whether we select
only the patients with evident (0.5 Diopters or more) Optic Nerve’s borders edema from Benign Intracranial
Hypertension’s Migraines, we found 243 patients.
These patients presented the following migraines, signs and symptoms (Table XIII-1):
Cerebrospinal Fluid Hypertension
Syndrome
Migraines, Variants, Signs and Symptoms
Optic Nerve’s Borders Edema
Patients (%)
Only with 0.25 diopters
of edema
0.5 diopters or
more of edema
1. Edema of one or both Optic Nerve’s Disks borders 539 (100%) 243 (100%)
2. Patients with all Migraines, signs and symptoms 428 (79.4%) 210 (86.4%)
3. Patients without any migraine 111 (20.6%) 33 (13,6%)
4. Wide Frontal Migraine 175 (32.5%) 90 (37%)
5. Worsened at morning 139 (25.8%) 75 (30.9%)
6. Rhinitis with coryza (rhinorrhea) and Tearfulness (added)
114 (21.2%) 51 (21%)
7. Itching eyes and Blepharitis (added) 110 (20.4%) 51 (21%)
8. Temporal or Head-top (vertex) Migraines 94 (17.4%) 57 (23.5%)
9. Ocular ache or weight 89 (16.5%) 38 (15.6%)
10. Worsened at menses
49 (14.4% out of
341 women)
27 (17.6% out of
153 women)
11. White sheaths on the Optic Nerve’s disk vessels 33 (6.1%) 74 (30.5%)
12. Eye redness (Eye erythema) 69 (12.8%) 37 (15.2%)
13. Occipital Migraine 76 (14.1%) 23 (9.5%)
14. Photophobia (Light sensitivity) 60 (11.1%) 27 (11.1%)
15. Nausea and retching or vomit or colic 36 (6.7%) 26 (10.7%)
16. Dizziness - vertigo 29 (5.4%) 25 (10.3%)
17. Cough (chronic) 29 (5.4%) 23 (9.5%)
18. Eyelids edema 36 (6.7%) 13 (5.3%)
19. Sneezing 33 (6.1%) 15 (6.2%)
20. Obstructive Rhinitis (Nasal congestion or stuffiness) 18 (3.3%) 22 (9.1%)
21. Diffuse Migraine 24 (4.5%) 12 (4.9%)
22. Visual perturbation for minutes - Amaurosis fugax 15 (2.8%) 11 (4.5%)
23. Middle forehead Migraine (Ethmoid) 13 (2.4%) 9 (3.7%)