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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 180
Central Retinal Vein Branch Thrombosis and Cerebrospinal Fluid Hypertension caused by cigarettes,
caffeine, beer and excessive water: We had a housewife with 55-year-old, 1.60 meters tall
(5 feet and 3 inches), 60 kilograms (132 pounds) of weight, two children. She had half-Indian and half-
French ancestors. She presented a story of one Central Retinal Vein Branch Thrombosis 10 years ago
in his right eye, and repeated in the same eye 3 years ago. She also complained of bi-temporal migraines,
rhinitis with coryza (diagnosed as allergic), eyes redness, eyes itching and aching, occipital
migraines, aches at all her joints, mainly wrists, elbows, shoulders and hips, diagnosed as Fibromyalgia.
For more than 20 years, she was a smoker of 40 cigarettes and drinker of coffee 1,000 milliliter (2
pints), caffeinated soft drinks 300 milliliter (10 fluid ounces), beer 1,200 milliliter (near 3 pints),and a
“delicious water”3,300 milliliter (nearly one gallon) each day. On ophthalmological examination we
found Optic Nerve’s disks with 0/0/0/0.5 and 0.4/2/0/0.25 right and left eyes (cup diameter/ cup depth/
lamina cribosa’s pores visibility/ borders edema), and with white sheaths around the right Optic
Nerve’s disk vessels. This characterizes the Cerebrospinal Fluid Hypertension Syndrome, which caused
the two Central Retinal Vein branch thrombosis and all the other symptoms. Her eyes' anterior chambers
were deep, physiologic. Her eyes' intraocular pressures measured 25 and 25 mmHg, which shows
the Ocular Hypertension, but yet without glaucoma. She also presented Pterygium on both eyes, and
needed eyeglasses.
Here we see the flourishing Fluids Hypertension Syndromes caused by the sum of caffeine, cigarettes,
excessive water and beer. Her eyes' lesions were not worse because she had simultaneously the two fluids
hypertension: the Cerebrospinal fluid hypertension and the intraocular hypertension. This allowed
the sparing of the bigger lesions in the Optic Nerves' disks.
She is lucky: now she can cure most of her symptoms, besides preventing a future blindness and all
the other possible heavy consequences to her health caused by so much vices, provided she stops all of
them now.
Terson syndrome: When the Cerebrospinal fluid pressure rise is extreme and sudden, as caused
by a subarachnoid hemorrhage from some ruptured intracranial aneurysm, it causes an acute and sustained
compression of the Central Retinal Vein as it passes through the Optic Nerve. The sustained and
strong rise of the venous blood pressure inside the eye can cause a Central Retinal Vein branch or capillary
intraocular hemorrhage, usually bilateral, known as Terson syndrome. It also can be caused by
strangulation, trauma, tumor, and post-surgical intracranial bleeding. Its pathophysiology is similar to
the Acute Mountain Sickness.
XIII - d – 4) Cerebrospinal Fluid Hypertension squeezing the 2 nd cranial nerve - 4 - Optic Nerve’s
fibers swollen damage in the Optic Nerve’s Disk. Peri-vascular white sheaths. Drusen in the Optic
Nerve's disk.
The chronic Cerebrospinal Fluid Hypertension above the intraocular pressure, squeezing the Lamina
Cribosa from the Optic Nerve towards the eye causes its edema and aches. At the beginning, there is a
mild edema (0.25 Diopters) at a portion of the Optic Nerve’s Disk border, because the Arachnoids
space filled with the Cerebrospinal Fluid is annular, around the Optic Nerve, just at the outer side of the
Optic Nerve’s Lamina Cribosa.
When repeated hundreds of times, it also cause peri-vascular edema around the arteries and veins on
the Optic disk, visible on direct ophthalmoscopy as white sheaths (Scheme III-4) - repeated here.
These mild edemas and white sheaths are visible with careful direct ophthalmoscopy with red-free
light..