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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 210
XIII- n - Inner Ears Fluids Hypertension Syndrome: In the patient with Inner ear’s fluids
(Perilymph or Endolymph) deficient resorption, the fluids hypertension causes Migraines, signs or
symptoms from the inner ear, as dizziness - vertigo, buzzing, hypersensitivity to sounds, hyperacusis,
equilibrium disturbances, and recurrent aches clinically diagnosed as “allergic otitis”. The patient with
simultaneous migraines and vertigo, is denominated as having “Vestibular migraine” syndrome.
Whether this rise of Endolymph pressure is too intense or remains too long, it causes definitive inner
ear damage, as Endolymphatic Hydrops (Ménière’s Disease), Labyrinthitis and Deafness.
“A total of 25 patients outpatients seen within the study period met the diagnostic criteria for Ménière's
disease. There were nine (36%) males and 16 (64%) females. Their ages ranged 27-65 years,
mean 45.25 years +/- 11.05. Eight (32%) met International Headache Society criteria for migraine.
There is a statistically significant difference between the prevalence of migraine in Ménière's patients
and migraine in the overall population (32% vs. 5.3%).” (Ibekwe T S, and others).
We verified the existence of the Inner ear’s Fluids Hypertension Syndrome in our patients by their
clinic typical inner ear’s symptoms, its similarity or concomitant with the other two Fluids Hypertension
Syndromes, and the observation of these patients healing with the treatment.
We could not distinguish between the Cerebrospinal Fluid Hypertension squeezing the 8 th cranial
nerve, from the Inner Ears Fluids Hypertension Syndrome. Other doctors will verify their respective
distinctions.
Labyrinthitis and Normal (Peak) Tension Glaucoma without advance notice: We had on the year
of 1992 a 14-year-old white and strong boy, which besides the astigmatism in both eyes, also presented
an enlarged cup in his Optic nerve´s disks of 0.6/3/1/0 (cup diameter/ cup depth/ lamina cribosa’s
pores visibility/ borders edema) without any sign or symptom. He had one great-grandmother Indian,
and all the other relatives were white. We did not know anything about the Fluid´s pressures, and we
prescribed him only his eyeglasses.
On the year 2001, with 22-year-old, his both Optic Disks show cups of 0.6/4/2/0. His intraocular
pressures were 14 mmHg in both eyes, which is physiologic. He did not complain about any sign or
symptom. We still did not know enough at that time, and only prescribed him new eyeglasses.
Now at the year of 2008, with 29-year-old, he is a layer, with 1.70 meters tall (5 feet and 7 inches),
weighting around 100 kilograms (220 pounds). He came with sudden continuous dizziness for the last
3 days, presenting an unstable gait. Other physician denominated this as Labyrinthitis and medicated
him, without much success. He is presenting horizontal nystagmus on both eyes, which is typical of the
damage of one of the semicircular horizontal canals in the inner ears. He presents a story of daily
drinks of water 3,600 milliliters (one gallon), coffee 300 milliliters (10 fluid ounces), and guaraná one
can of 300 milliliters (10 fluid ounces); at Saturdays he drank 1,800 milliliters (60 fluid ounces) of
beer, and his girl-friend drank other similar; on the last Sunday he took 3 guaraná tablets of 500 mg
each (total 1,500 mg) in order to study many hours during that night. On Monday he woke with the
Labyrinthitis, without any other sign or symptom. On his ophthalmological examination after 3 days,
we found Optic Nerves’ cups of 0.6/4/3/0 and 0.7/4/3/0 in his right and left eyes, which are suspect and
incipient glaucomatous damage. His intraocular pressures in our office repeated 14 mmHg in both
eyes, which are normal. His anterior chambers are shallow, which means that he can easily raise his
intraocular pressures. There was no headache or other sign or symptom, nor Cerebrospinal Fluid Hypertension
signal on his Optic Nerves´ disks. There was only the Inner Ears’ and Ocular fluids hypertension,
causing the definitive damage of Labyrinthitis and “Low-tension” Glaucoma in a very young
person. The “low-tension” means that the Ocular hypertension which caused his glaucoma was at other
hour, far from our office, and the intraocular pressures reduced by themselves after causing the Optic
nerves´ damages.
Do we need to repeat here that these both damages were caused by his drinks of caffeine, beer, and
excessive water?