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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 185
“Twelve patients with choroidal folds included nine men and three women. Six patients (50%)
presented with papilledema in the eye with choroidal folds. The other six patients (50%) presented with
only choroidal folds. In this study, 10 (83%) of 12 patients had an opening pressure greater than 230
mm H(2)O. In patients presenting with only choroidal folds, five (83%) of six patients had an opening
pressure greater than 230 mm H(2)O, with an average opening pressure of 290 mm H(2)O. Conclusion:
Depending on the timing of the evaluation, papilledema may or may not be present, and only choroidal
folds may be seen as a reflection of increased intracranial pressure.” (Griebel S R, and Kosmorsky G
S).
Some doctors found a genetic etiology, a “X-linked juvenile retinoschisis”. Did those patients drink
caffeine, excessive water, wine, or beer? Besides the genetic, has not this retinoschisis a participation of
the patient's drinks? Can the patient be cured by excluding these drinks from his diet? Did the doctors
teach this to their patients?
Relapsing maxillary sinusitis and macular degeneration caused by the Cerebrospinal Fluid Hypertension:
On the year 1,989, we had a mulatta with 39 year-old, with one grandparent Black and the others
Portuguese. She was housewife, and had 5 children. She complained about eyes aches, and we found
only the need of hyperopic eyeglasses. On that time, we did not know enough, and on the direct ophthalmoscopy
we only found moderate arteriosclerosis. Her intraocular pressures were physiologic, 14
mmHg in each eye. She came again many times, years apart, complaining about headaches that
worsened at the stress, and each time we only prescribed her new eyeglasses.
Now on the year 2,007, she came again with 57 year-old, 1.52 meters (5 feet), and 65 kilograms
(143 pounds) of weight. This time we asked her the right questions. She complained about years of
many relapsing sicknesses: Maxillary bilateral “sinusitis” twice a year, worsening vision, memory failing
for 5 minutes each time, dizziness, smell loss, deafness and head-top migraines. She was concerned
about the left eye that was aching again, tearful and itching since one week ago. Her intraocular pressures
were 12 mmHg in both eyes (physiologic). The anterior chambers were shallow. She again
needed new eyeglasses for distance and for near vision. On direct ophthalmoscopy we found “crowded
disks”, with 0/0/0/0.25 and 0/0/0/0.5 right and left eyes (cup diameter/ cup depth/ lamina cribosa pores
visibility/ borders edema), which we years ago considered as “normal”, and now we know that it is the
signal of the Cerebrospinal Fluid Hypertension Syndrome. With careful search, we saw many drusen at
her both retinas, which is the beginning of the age-related macular degeneration.
She has arterial hypertension. She drinks regular coffee 50 milliliters (a little less than 2 fluid
ounces), decaffeinated coffee 100 milliliters (a little more than 3 fluid ounces), caffeinated soft drink
Guaraná 300 milliliters (10 fluid ounces), and water 3,000 milliliters (nearly one gallon) daily, prescribed
by a physician “because of her advanced age”.
From now on, whether she stops the caffeine and the excessive water drank, she will stabilize all
these sicknesses for life. Alternatively, whether she keeps the drinks, she can evolve to the damage
consequent to the Cerebrospinal Fluid Hypertension: blindness, deafness, labyrinthitis, anosmia, and
other sicknesses that worsen with caffeine and excessive water drank.
XIII - d – 6) Cerebrospinal Fluid Hypertension squeezing the 2 nd cranial nerve - 6 – Chronic
Squeezing of the Central Retinal Vein in the Optic Nerve, causing Chronic increased pressure in
the Central Retinal Vein in the eye.
On physiologic conditions, the blood in the central retinal vein pressure is a little higher (0.3 to 1.3
mmHg) than the Cerebrospinal fluid pressure. This was measured in dogs’ eyes: “Dogs were anesthetized
…the retinal arterial pressure = 0.72*aortic pressure + 4.3. The correlation coefficient between retinal
vein pressure and intraocular pressure was greater than 0.96. The transmural pressure varied along
the retinal vein (to the cerebrospinal fluid pressure) from 1.3 +/- 0.3 mmHg at 1 disk diameter from the
optic disk rim to 0.3 +/- 0.2 mmHg at the optic disk.” (Morgan W H, and others).