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

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Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 196 5) Rapid improvement and shortened duration with corticosteroid therapy and; 6) Transient, reversible magnetic resonance image contrast enhancement of the affected cranial nerve (86% of patients).” (McMillan H J, and others). This magnetic resonance image visualization of the affected cranial nerve in ophthalmoplegic migraines is an aseptic neuritis of this nerve. It is typically caused, so by the caffeine and so by the Cerebrospinal fluid´s hypertension causing the nerve ischemia. - Migraines, ocular paresis, beer, caffeine and excessive water: We had a disk jockey with 33-yearold, mulatto (black, Indian and white ancestors), 1.71 meters (5 feet and 7 inches) height, 61 Kilograms (134 pounds) of weight, almost all healthy, who suddenly presented with diplopia one month ago. He also complained about bi-temporal and occipital headaches, mainly at awakening. He used to drink coffee 250 milliliter (8 fluid ounces), cola soft drink 600 milliliter (more than a pint) and water 4,800 milliliter (more than a gallon) each day, for the last 10 years, more or less. He also used to drink some pints of beer on weekends, and for the wakening headaches, he self-medicated with caffeinated over-the-counter analgesics. On the ophthalmological examination, we found almost all normal, as pupils, visual acuity, biomicroscopy and intraocular pressures. He presented a small paresis of a portion of the third cranial nerve on the right side, which included the Superior Rectus and Levator Palpebrae Superioris. His Optic Nerve’s´ disks show 0.6/3/2/0.25 right eye and 0.5/3/1/0.25 left eye (Cup diameter/ cup depth/ lamina cribosa’s pores visibility/ borders edema), which is a damage suspicious of glaucoma and small cerebrospinal fluid hypertension. After 1 month, stopping all caffeine, beer, the excessive water drank daily, and medicating only with vitamins B1, B6 and B12, one tablet each day, he became better from the headaches and the ocular paresis. On the Children’s Hospital Los Angeles, “patients 11 years and younger diagnosed with idiopathic intracranial hypertension... Of the 10 patients, four were girls and six were boys. Only one patient was obese. The most common presenting symptoms were stiff neck (four patients) and diplopia (four patients). Six of eight patients with strabismus had abducens nerve palsy (four bilateral), one patient had a sensory exotropia, and one had a comitant esotropia. Visual field abnormalities were present in 11 of 13 eyes (85%), and severe visual loss resulting in no light perception vision occurred in one eye of one patient. Resolution of papilledema occurred rapidly in all patients, with a mean of 4.7 +/- 2.6 months. Resolution of sixth nerve palsy also occurred rapidly in four of six patients in a mean of 1.6 +/- 1.2 months. One patient required strabismus surgery for persistent esotropia.”(Cinciripini G S, and others). On the Department of Ophthalmology, University of Arkansas Medical Center, USA, “Three children with pseudotumor cerebri presented with vertical diplopia and clinical signs of fourth cranial nerve palsy including a hypertropia of the affected eye, which increased with adduction and ipsilateral head tilt. The fourth cranial nerve palsy resolved after reduction of the intracranial pressure in all three children.” (Speer C, and others). Adie's pupil – Tonic pupil. Adie’s tonic pupil is defined as a dilated pupil, constricting poorly to light and exhibiting light-near dissociation. It is consequent to a parasympathetic fibers lesion. It can be caused by the Cerebrospinal fluid hypertension or by the vasospasm and consequent ischemia caused by the caffeine, in a person with some propensity to it. We had no cases with it. XIII- g - Cerebrospinal Fluid Hypertension squeezing the 5 th cranial nerve and the Gasserian ganglion: Trigeminal Neuralgias: The squeeze of the Trigeminal Semilunar ganglion (Gasserian ganglion) by the Cerebrospinal Fluid Hypertension possibly is the main etiology of the Trigeminal Neuralgias. The Trigeminal Semilunar ganglion is on the midway between the Cerebrospinal Fluid that compresses its roots, and the Ophthalmic, Maxillary and Mandibular nerves on the outside and free from any fluid´s pressure. The Gasserian ganglion is just like a cork holding the pressure in the bottle, which is our head. Consequently, the main treatment to cure the Trigeminal Neuralgia is the treatment of the Cerebrospinal Fluid's Hypertension. To cure it, it is not necessary to mutilate the patient, destroying the ganglion or the nerve: it is only necessary to shorten the caffeine, beer, wine and excessive water from his daily diet. So high suffering with so easy cure.
Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 197 XIII- h - Cerebrospinal Fluid Hypertension squeezing the 7 th cranial nerve: Bell palsy (Peripheral Facial Palsy): The acute squeeze of the Facial nerve (seventh cranial nerve) presents with sudden peripheral hemi-facial palsy at morning (Bell palsy). Its pathophysiology is similar to that of the NAION described above: The cerebrospinal fluid higher pressure and the caffeine cause the 7 th nerve edema; as the nerve pass by a bone's canal, the rigid bone cranial foramen strangles the nerve, the pressure in the canal surpasses the arterial pressure, and the ischemia causes the infarction of the nerve. We knew their etiologies, by asking to the patients about their drinks the nights before the palsies. It is possible that some peripheral facial (7 th . Cranial nerve) palsy be consequent to the cold exposure at night, or the cold can be only a trigger in a caffeinated patient. We could not clarify this. Bell palsy caused by caffeine and excessive water: We had a 32-year-old man, weighting 160 Kilograms (352 pounds), drinking beer and plenty of water daily, added by coffee, mate and tea. He only complained of small photophobia. His eyes were normal On the examination, with intraocular pressures of 18 mmHg in both eyes, and the Optic Nerves shown no cups and a little borders edema of 0.25 diopters, classified as 0/0/0/0.25. We prescribed him to stop drinking beer, coffee, mate and tea, and reducing the water drank, but without being obeyed. After two years, he returned presenting peripheral left facial palsy, and his Optic Nerves show 0/0/0/0.5 and 0/0/0/0.75 right and left eyes (cup diameter/ cup depth/ lamina Cribosa’s pores visibility/ borders edema), which is typical of the Cerebrospinal Fluid Hypertension. After more one year, with medication and diet to weight-loss, he presented with only 135 Kilograms (297 pounds), drinking 5,500 milliliters of water, coffee 1,000 milliliter and tea 1,000 milliliter daily. His Optic Nerves show 0/0/0/1 in both eyes. This is a dangerous situation, and unless he reduces his drinking habits, he is prone to present more anyone of the many sicknesses consequent to the Cerebrospinal Fluid Hypertension Syndrome. “Allergic” rhinitis and tearfulness: The chronic compression of the Facial nerve (seventh cranial nerve) by the Cerebrospinal Fluid is one of the etiologies of the tearfulness we frequently found on our migraine patients, as a migraine variant. It can be also the etiology of some “allergic” rhinitis. Other etiologies of “allergic” rhinitis, are: A- Rhinitis with coryza, secondary to the tearfulness caused by the Ocular Hypertension, as a neural reflex. B- Rhinitis without coryza, caused by the Cerebrospinal Fluid Hypertension stretching the Olfactory nerve (the first cranial nerve) at the Ethmoid's lamina cribosa. Dry eye syndrome: The definitive damage of part of the seventh cranial nerve caused by the Cerebrospinal Fluid Hypertension can cause definitive tears reduction and consequent real Dry eye syndrome. Migraines, facial palsy, beer, excessive water and caffeine: We had a 48-year-old white man, 1.78 meters (5 feet and 10 inches) tall, 80 Kilograms (176 pounds). For more than the last 10 years, he used to drink daily 300 milliliter of coffee, 600 milliliter (20 fluid ounces) of cola soft drink and 4.500 milliliter (more than a gallon) of water. He also used medication for arterial hypertension. His father had Glaucoma. He felt chronic Maxillary aches classified as “sinusitis” and sometimes nasal obstruction. Suddenly, he woke with inferior left facial palsy. After one week, on the examination we found Optic Nerves’ disks edemas of one diopter and without any cup in both eyes, which we classified as 0/0/0/1. His intraocular pressures were 30 and 28 mmHg right and left eyes, which are high. With these high intraocular pressures, any “normal” person should be presenting increased cups in his Optic Disks. The fact that he presents no cups, but on contrary, he has disks edemas, is the evidence that his Cerebrospinal Fluid pressure is bigger than these pathological high intraocular pressures. This is the Pseudotumor cerebri (Benign Intracranial Hypertension) added with the Bell palsy, consequent to the Cerebrospinal Fluid Hypertension Syndrome, caused simultaneously by heredity, caffeine, excessive water and beer drank daily. Remarkably was the endurance of all his nerves to this Cerebrospinal fluid hypertension for more
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- 1 patient (7.7%) presented photop
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Advanced (Cup/Disk ratio=1) Fluids
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Migraines, Variants, Signs and Symp
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10. Worsened at menses 11. White sh
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Urinary albumin excretion Albumin-c
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1. BadBoy 2. Burn 3. Café 4. Chá
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53. Tylenol DC Fluids Hypertension
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Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

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