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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 186<br />

When there is a brain hypoxia, there is a vascular reactive dilatation in the brain, which causes a<br />

Cerebrospinal Fluid <strong>Hypertension</strong> that squeezes the Optic Nerve and increases the pressure inside the<br />

Central Retinal Vein and causes its dilatation, which already was measured: “Persons (aged 55 years or<br />

older) with arteriolar oxygen saturation less than 96% had on average 5 mum larger venular diameters<br />

(measured in 1 eye) compared with those with arteriolar oxygen saturation of 96% or more.” (de Jong<br />

F J, and others).<br />

The chronic squeeze of the Central Retinal Vein by the Cerebrospinal fluid hypertension makes<br />

difficult the blood venous return, visibly engorges the Central Retinal Vein, increases the blood pressure<br />

inside this vein and causes:<br />

- peri-vascular edemas at the Optic Disk,<br />

- retinal hard and soft exudates,<br />

- retinal hemorrhages,<br />

- Central Retinal Vein thrombosis,<br />

- swollen and cystic macular degeneration,<br />

- macular hole,<br />

- glaucoma,<br />

- “age-related” macular degeneration (AMD), and<br />

- Serous macular detachment.<br />

Instead of the false name of “Age-related Macular Degeneration”, the correct name should be “Caffeine,<br />

Wine and Beer Macular Degeneration”.<br />

Central Retinal Vein Thrombosis (Occlusion). It has 2 main pathophysiologies, and both are from<br />

the <strong>Fluids</strong>' <strong>Hypertension</strong> <strong>Syndromes</strong>:<br />

The raise of Cerebrospinal fluid pressure squeezes the Central Retinal Vein in the Optic Nerve behind<br />

the eye, and at the Optic Nerve’s disk, causing retention of the blood drainage inside the eye and<br />

engorging the Central Retinal Vein. This central retinal venous engorgement is visible on direct ophthalmoscopy,<br />

and stimulates its thrombosis.<br />

The Glaucoma stretching the Central Retinal Vein's branches at the arterial-venous crossings and at<br />

the border of the Optic Nerve's cup, cause the blood retention and the Central Retinal vein thrombosis.<br />

On “Four hundred fifty consecutive cases of retinal venous occlusion... (from) 207 (46%) that occurred<br />

within the optic nerve... the optic nerve head swelling group had 80 cases (17.8%) and the nonoptic<br />

nerve head swelling group had 127 cases (28.2%). The mean cup-to-disc ratio was significantly<br />

higher (0.65) in the optic cup - retinal venous occlusion compared with the rest of the groups (0.45-<br />

0.48). The proportion of cases with cup-to-disk > or = 0.7 was significantly higher in the optic cup -<br />

retinal venous occlusion group (39.1%) compared with the rest of the groups (0-6.3%).” (Beaumont P<br />

E, and Kang H K).<br />

XIII - d - 7) Cerebrospinal Fluid <strong>Hypertension</strong> squeezing the 2 nd cranial nerve - 7 – Chronic<br />

Squeezing of the Central Retinal Vein in the Optic Nerve, Impairing the Interstitial <strong>Fluids</strong> Resorption<br />

in the Retina.<br />

The chronic Cerebrospinal Fluid <strong>Hypertension</strong> causes the chronic squeezing of the Central Retinal<br />

Vein inside the Optic Nerve (SchemeXIII-1). This causes the rise of the venous blood pressure and the<br />

engorgement of the Central Retinal Vein branches in the eye, with chronic difficulty of the venous<br />

blood return from the retina, impairing the resorption of the physiologic retinal interstitial fluid. This<br />

cause many blinding sicknesses:<br />

The chronic accumulation of the retinal interstitial fluid causes chronic Macular edema.<br />

The chronic minimal edema of the macula lutea and retina, relapsing many times, results on Drusen<br />

in the retina and on the “Age-Related Macular Degeneration” (AMD). Its correct name should be<br />

“Caffeine, wine and beer macular degeneration”. The soft drusen can appear, grow, stay stable, and<br />

eventually be resorbed. They are dynamic.<br />

The chronic macular edema can result in Cystic Macular Degeneration.

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