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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 260
the hands, it is denominated as “Carpal Tunnel Syndrome” (see above).
XVI - 159) Ocular Migraines. Co-morbidities and evolutions: After many years of sufferings, the
Migraines intensities attenuate after the age of forty years and almost disappear after the age of sixty,
with any intraocular pressure and any cup’s size of Optic Nerve’s disk. In the patients with intraocular
pressure of 17 mmHg or more or with Cerebrospinal Fluid Hypertension, the Migraines are replaced by
ocular itching, tearfulness, chronic rhinitis and light sensitivity (photophobia). Other physician denominated
this as “late-life migrainous accompaniments”.
Those patients who rub their eyes present various kinds of recurrent blepharitis or conjunctivitis, as
infectious as similar to allergic ones, and they only cure lowering their intraocular and Cerebrospinal
fluid pressures.
“The 50 years or older age group presented lesser acute migraine attack and lower prevalence of migraines.
This older group decreased the headaches with aura, stress as a trigger, photophobia, phonophobia,
dizziness - vertigo, throbbing, pressure, stabbing, nausea, vomiting, temporal location, headache
days, recurrences and aggravation of headache by activity. This group of 50 year-old or more
presented increase of the neck location, running of the nose and tearing of the eyes.” (Kelman L).
We observed on our patients that those above three symptoms that Doctor Kelman found as increasing
in the older age group, neck location, running of the nose and tearful of the eyes, are typical from
the intraocular pressure rise, which can evolve to the glaucoma.
XVI - 160) Omentum (belly-fat) increase: “Caffeine will increase the production of cortisol. The
omentum houses cortisol. People who have abused caffeine for many years can develop an over
distended omentum.” (Conant D).
XVI - 161) Optic Nerve’s borders edema evolution:
With the treatment and reduction of Cerebrospinal fluid pressure, the Optic Nerve's borders edema reduces
after some months or years, but hardly disappears completely. The gray and high aspect changes
to a permanent gray-whitish and flat one, as borders atrophy around the Optic disk, known as “peripapillary
disk atrophy beta zone”, which is common on glaucoma. Sometimes there remains sheaths
around the vessels at the Optic Disk. Those patients that followed our treatment never developed any
optic neuropathy related to the optic nerve edema, as the “Age-related macular degeneration”.
Without the correct treatment, the Cerebrospinal Fluid Hypertension Syndrome can cause many years
of sufferings, resulting in definitive blindness.
- Migraines and visual darkening caused by caffeine: We had on the year of 1994 one woman with
26-year-old, at the seventh month of her 1 st . pregnancy, office worker, complaining of diffuse headaches
for one week. She also complained about a left hemi-field visual darkening once, that endured
for about 25 minutes. She doesn’t know precisely, but her face, hair and skin color show that she had
heredity of around half Indian, a quarter Black and a quarter White. Consequently, she was a true
Brazilian Mulatta. On ophthalmologic examination, we found only intraocular pressures of 20 and 18
mmHg in right and left eyes, which are a little high and could explain her headaches. She needed no
eyeglasses, and all the rest of ophthalmologic examination was physiologic (normal). At that time we
did not know what to ask, what to look for, and what to prescribe.