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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 195
gorges the Optic Nerve’s Dura mater, which is its sheath. When the patient turns his eyes from one side
to other, this stretched Dura mater bends and aches “behind the eyes”. It is denominated as a “Migraine”.
XIII- e- Cerebrospinal Fluid Hypertension without Optic Nerve’s borders edema:
When there are simultaneous raise of the Cerebrospinal Fluid and the intraocular pressures on the
same hours, there are no Optic Nerve glaucoma's cups nor borders' edemas.
- Curing 40 years of Migraines, edemas and other sicknesses, all caused by inheritance, caffeine
and excessive water: We had a 52-year-old needle-woman, with two grand-fathers and one grandmother
from European origin (German, Switzerland and Spanish) and one grand-mother Brazilian
white with typical African black hair.
Since teenage, she suffered from many variegated aches. Now she is 1.68 meters (5 feet and 6 inches)
tall, 85 Kilograms (187 pounds) of weigh. She is complaining simultaneously of occasional left side
Hemianopsia during one minute and relapsing once a month, middle forehead Migraines, bi-temporal
Migraines, Diabetes, Arterial Hypertension, big edemas of all 4 eyelids and on both cheeks at awakening
which makes her impossible to open her eyes, diplopia and backaches. She had deep venous leg
thrombosis years before the diabetes.
From 2 weeks until now, she presented partial palsy of her right eye, with corresponding diplopia
and dizziness. Her neurological examination and cranial tomography showed normal.
On ophthalmological examination we found the paresis of the fourth cranial nerve which innervates
the right Superior Oblique muscle. She presented both Optic Nerve’s cups with 0.6/3/1/0 (Cup diameter/
cup depth/ lamina cribosa’s pores visibility/ borders edema), which is suspicion of Glaucoma. She
presented Hyperopia and Presbyopia. The intraocular pressures were high, 22 and 22 mmHg, which
explains the simultaneous small glaucomatous cups and no borders edemas of the Optic disks, because
the rise of the Cerebrospinal fluid pressure was lesser than the rise of the intraocular pressures. She
was a drinker of coffee 100 milliliter (3 fluid ounces) and water 2,400 milliliter (more than half-gallon)
daily, and occasionally caffeinated over-the-counter analgesics, for all those years.
We prescribed her to stop all caffeine and reduce the excessive water drank daily. After two weeks
she came better, but still with small eyelids edemas, strong aches only at her right eye, and the same
diplopia. The intraocular pressures were 20 and 20 mmHg in both eyes, which still are a little high. We
prescribed her an eye drop (Timolol Maleate 0.5%) twice a day to lower her both eyes intraocular
pressures, to stop the eye aches, and to prevent the glaucomatous evolution. This eye drops improved
her.
Here we see many signs, symptoms and sicknesses, all consequent of the hyper-sensibility to the caffeine
added with the excessive ingestion of water simultaneously. These drinks caused simultaneous
Cerebrospinal Fluid and Ocular Hypertension Syndromes, added with the caffeine intoxication, during
continuous 40 years of sufferings. All these sufferings could be easily prevented and cured, avoiding
these etiologies. Happily, she came in time, before the glaucomatous blinding. It is good, isn't it?
XIII- f - Cerebrospinal Fluid Hypertension squeezing the 3 rd , 4 th , and 6 th cranial nerves: The
squeeze of the third, fourth and sixth cranial nerves caused by the Cerebrospinal Fluid Hypertension repeated
many times, damages them and cause the ocular palsies presented by some migraine patients,
mainly in children, with consequent temporary diplopia and strabismus, denominated as Ophthalmoplegic
Migraines.
“Oculomotor ophthalmoplegic migraine is a rare episodic childhood condition in which a unilateral
oculomotor palsy is preceded by headache.” (Carlow T J).
“We review 3 new and 37 reported pediatric ophthalmoplegic migraine cases. Patients demonstrated:
1) Headache was an inconsistent feature, with 25% patients showing no evidence of pain at the initial
ophthalmoplegic migraine episode.
2) Prolonged time for symptom resolution to occur (median time 3 weeks);
3) Tendency for recurrent episodes to have more severe and persistent nerve involvement;
4) Evidence of permanent neurological sequelae with recurrent episodes (30% of patients);