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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 26
- Etiology is the risk factor actually causing some pathology in the patient. Some patients can cure removing
from them the etiologies which can be removed. There are risk factors (or etiologies) which
can not be removed, as inheritance and aging.
- Worsening factor is the risk factor or etiology that worsens some pathology caused by other etiology
or risk factor. The most common worsening factor of all these disturbs is the caffeine.
II) – Objective:
Description of the Ocular, Cerebrospinal and Inner ear Fluids Hypertension Syndromes, felt as Migraines,
Headaches, Rhinitis, Sinusitis, Otitis and many other interchangeable signs and symptoms
known as Migraine variants, rise of Intraocular Pressure, Normal (Peak) Tension Glaucoma, Benign Intracranial
Hypertension, Inner Ear sicknesses, and other related disturbs.
Description of their etiologies, occurrence statistics, pathogenic habits, diagnoses, differential diagnoses,
pathophysiologies, long-term evolutions of Migraine and Optic Nerve’s disk cup, prevention,
therapies and sometimes their cure.
Between the thousands patients we had with these syndromes, we described some remarkable ones.
III) – Method:
Contents:
III-1 – Introduction.
III-2 – Anamnesis detailing the patient’s complaints.
III-3 – Optic Nerve’s disk direct ophthalmoscopy.
Scheme III-1: Optic Nerve’s disk with a physiologic cup 0.4/2/0/0.
Scheme III-2: Optic Nerve’s disk 0.7/3/3/0.
Scheme III-3: Optic Nerve’s disk 0.5/3/1/0.25.
Scheme III-4: Optic Nerve’s disk 0.2/1/0/0.5.
Scheme III-5: Optic Nerve’s disk 0.1/1/0/0.75.
Scheme III-6: Optic Nerve’s disk 0/0/0/1.
III-4 – Ocular applanation (Goldmann) tonometry.
Scheme III-7: The true intraocular pressure with the Goldmann applanation tonometer.
III-5 – Ocular refraction and other exams.
III-1 – Introduction: Through more than 40 years of medical ophthalmological practice on Brazil, we
examined more than 100,000 outpatients with some ocular complaint, on our private medical office. In
many of them we repeated the same exam after some years and noted their evolution.
Our research began around the year 1980, trying to discover why some patients got the denominated
“Low-tension Glaucoma”, some drinkers got red eyes, and other patients and drinkers did not get them.
We were most inquisitive about the fact that some patients did not present these disturbs, and after
some years they did present them. At that time, we researched at all directions and possibilities. Systematically
and warily, we discovered the details examining our patients, asking and mainly hearing
from them. Some discoveries were astonishing.
We began discovering in our patients the Intraocular Pressure Headache, first reported at the year
1996. As the observations were changing our first suppositions, we changed the reports and sent them
to more than 200 medical doctors ophthalmologists, health organizations, medical publications and associations
world abroad. With rare exceptions, they never answered anything.
On the year 2002, we published the 30 th report in Portuguese at the “Jornal Brasileiro de Medicina”
spread to 40.000 Brazilian physicians. No one of them manifested anything.
We continued studying other doctors theories, daily questioning ourselves, testing all possibilities, examining
and medicating the patients, and making statistics to prove or reject each theory. We utilized
the already established medical definitions and classifications when feasible, and made new ones when
necessary. Some of these primitive statistics and conclusions were published at Internet as the 49 th report,
on the year 2005.