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

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<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 37<br />

We conclude that most <strong>Migraines</strong>, signs and symptoms affected men at younger ages than women,<br />

but the difference is little (men at 37,5 and women at 39,1 year-old).<br />

Selecting only the glaucoma patients, we found (Table IV-3):<br />

Glaucoma damage by Gender and Average Ages<br />

Men Women Total<br />

Optic Nerve’s cup/disk ra-<br />

Patients Ages Patients Ages Patients Ages<br />

tio<br />

Suspect C/D=0.6 39 44.6 66 38.8 105 41<br />

Incipient C/D=0.7 30 40.6 54 44.7 84 43.3<br />

Advanced C/D=0.8 18 51.7 12 48.7 30 50.5<br />

Advanced C/D=0.9 8 62.1 8 61.1 16 61.6<br />

Advanced C/D=1 1 80 6 66.2 7 68.1<br />

Total 96 46.5 146 44.2 242 45.1<br />

Table IV-3: Patients with Glaucoma, their average ages and gender.<br />

We conclude that the glaucomatous damage (glaucomatous Optic neuropathy) increase together<br />

with the patients’ increasing ages, as in men as in women.<br />

“Open-angle glaucoma prevalence increased exponentially with age, with rates of 0.4%, 1.3%, 4.7%,<br />

and 11.4% among persons aged less than 60 years, between 60 and 69 years, between 70 and 79 years,<br />

and 80 years or older, respectively”(Wang JJ and others).<br />

“Incidence of open-angle glaucoma increased greatly with age, from 2.2% at ages 40 to 49 years to<br />

7.9% at ages 70 years or older, and tended to be higher in men than women (4.9% vs. 4.1%.” (Leske M<br />

C, and others).<br />

We conclude that the patients with <strong>Migraines</strong> were younger, with average ages of men 37.5 and<br />

women 39.1-year-old (Table IV-2), than were the patients with Glaucoma, with average ages of<br />

men 46.5 and women 44.2-year-old (Table IV-3).<br />

<strong>Migraines</strong> and beginning of <strong>Normal</strong> Tension Glaucoma at young age. We had a patient with 10year-old<br />

boy, with great-grandfathers from Africa, Portugal and Brazilian Indians. His weight was 26<br />

kilograms (57 pounds), and he was 1.32 meters (4 feet and 4 inches) tall. For the last 5 years, he was<br />

complaining about wide frontal <strong>Migraines</strong>, obstructive rhinitis, allergic sinusitis, eyes itching, sneezes<br />

at awakening and dry cough at night. Sometimes he had nausea, retching and vomits. After many exams,<br />

his Pediatrician and his Neurologist found no explanation to all of this. The Ophthalmologist suspected<br />

about something wrong at his Optic Nerves´ disks and asked other exams which his family<br />

could not afford. He was a drinker of cola soft drink 500 milliliters (a little more than 1 pint) and<br />

homemade juices and refreshments 2,500 milliliters (three quarters of a gallon) each day.<br />

On the ophthalmological exam, we found no eyeglasses needs, deep physiologic anterior chambers<br />

and intraocular pressures of 14 mmHg in both eyes, which is physiologic. On the direct ophthalmoscopy,<br />

his optic nerves show cups of 0.5/3/3/0.75 and 0.6/3/3/0.75 right and left eyes (cup diameter/<br />

cup depth/ lamina Cribosas’ pores visibility/ borders edema). This characterizes the simultaneous damage<br />

caused by the Ocular and the Cerebrospinal Fluid hypertensions, which explained all his signs and<br />

symptoms. These two fluid hypertensions were occurring in his eyes, together on the same days but not<br />

on the same hours. The left eye damage we classify as Suspect <strong>Normal</strong> (Peak) Tension Glaucoma, and<br />

the right eye was very near of this. He was suffering since 5-year-old, and obviously, the damages<br />

began to develop at that age.<br />

We taught him to stop all caffeinated soft drinks and to shorten the daily liquids to only his thirst<br />

needs, without any medication. After one week of aches, he became better from almost all his symptoms.<br />

Provided he keeps these drinks restriction for life, he will no more suffer or evolve to the advanced<br />

glaucoma.

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