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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 176<br />

diopter or more, as visual losses, deafness, diplopia, third, fourth or sixth cranial nerve palsies.<br />

In Dubai, UAE, “In… 50 patients with idiopathic intracranial hypertension...There were 46 (92%)<br />

women. Mean age at presentation was 35.7 years. Obesity was the commonest associated factor (32%).<br />

Headache was reported in 98% followed by double vision (32%). Papilledema was present in all<br />

patients (100%). Perimetric study showed mild peripheral visual field constriction in 56%. Only two<br />

patients showed severe field constriction and one of them deteriorated rapidly and she became blind.<br />

The mean cerebrospinal fluid pressure was 302.5 mm H(2)O.” (Mezaal M, and Saadah M).<br />

- Curing many illnesses and <strong>Migraines</strong> by reducing water and caffeine. We had a 66-year-old needlewoman,<br />

white, 1.54 meters (5 feet and 1 inch) tall, weighting 66 Kilograms (145 pounds). She complained<br />

about many years of cardiac, ophthalmological and other medical disturbs, and took many<br />

simultaneous medications to arterial hypertension, type II diabetes, headaches on frontal and occipital<br />

areas, aches on both eyes, eyes hyperemia, “allergic” conjunctivitis, tearful, photophobia, diffuse muscular<br />

backaches and gastritis. Besides the medications for all of these, she daily drank water 2,000<br />

milliliter (half gallon), coffee 100 milliliter (3.3 fluid ounces), caffeinated “cola” soft drink 500 milliliter<br />

(one pint) and over the counter analgesics with caffeine. On her eyes examination we found intraocular<br />

pressures 14 and 14 mmHg, shallow anterior chambers, Optic Nerves´ disks with 0.8/4/2/0<br />

and 0.7/4/2/0 right and left eyes (cup diameter/ cup deepness/ lamina Cribosa pores visibility/ borders<br />

edema),which characterizes incipient and advanced <strong>Normal</strong> (Peak) Tension Glaucoma. We told her to<br />

stop all caffeine (coffee, soft drinks and analgesics), shorten the water only to the thirst needs, stop the<br />

anti-allergic and artificial tears eye drops, and to use only an anti-glaucomatous eye drop (Timolol<br />

maleate only at night). After two months, she returned without any of her multiple aches; the photophobia,<br />

tearful, gastritis and the backaches also disappeared. She only kept the eyes hyperemia, arterial<br />

hypertension and diabetes. This patient presented simultaneous Ocular and Cerebrospinal Fluid <strong>Hypertension</strong>s:<br />

the Glaucoma was evident at the ophthalmoscopy; the Benign Intracranial <strong>Hypertension</strong><br />

was impossible to corroborate because there was no Optic Nerves´ borders enough to become swollen,<br />

but was evident by her backaches. All of this was caused by her daily ingestion of caffeine and excessive<br />

water, and all was easily curable.<br />

XIII -c- Cerebrospinal Fluid <strong>Hypertension</strong> squeezing the 1 st cranial nerve: The Olfactory nerve<br />

fibers (Fila Olfactoria) are squeezed by the Cerebrospinal Fluid <strong>Hypertension</strong> as they traverse the Cribriform<br />

Plate at the Ethmoid bone, which aches at the upper nose or middle forehead and engorges the<br />

nasal mucosa. The patient feels this as a chronic Sinus ache, “Allergic Rhinitis”, “Allergic Sinusitis” or<br />

“Nose Congestion” without any infection, fever, purulent secretion or coryza. This swollen chronic dry<br />

“rhinitis” probably is also the etiology of the Nasal Polyps. Some patients have chronically the Olfactory<br />

hypersensitivity, which can trigger their migraines. The Cerebrospinal fluid's hypertension worsens<br />

their Olfactory hypersensitivity. The allodynia of the squeezed Olfactory Nerve changes the physiologic<br />

scents in worsening stimulus to migraines. This is denominated as an Odor-phobia.<br />

Nasal Polyps: Probably they are caused by the chronic edema of the nasal mucosa, consequent to the<br />

Cerebrospinal Fluid <strong>Hypertension</strong> stretching the 1 st . cranial nerve at his lamina cribosa on the Ethmoid<br />

bone.<br />

Sinusitis “allergic”. Sinus Headache: Most of them are not true sinusitis: They are fake! “In this<br />

study, 88% of 2991 patients with a history of self-described or physician-diagnosed "sinus" headache<br />

were determined to have migraine-type headache. In patients with recurrent headaches without fever or<br />

purulent discharge, the presence of sinus-area symptoms may be part of the migraine process.”<br />

(Schreiber C P, and others). We conclude that the surgeries to “allergic sinusitis” are medical errors.

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