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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 39
We could not measure the Cerebrospinal fluid, Perilymph and Endolymph pressures, but according
with the observations of our patients’ aches, we suppose that they follow a relation between their pressures
and aches, similar to the relation of the intraocular pressures and respective aches.
V-b – “Pain is one of Nature’s earliest signs of morbidity” (Adams R D and Resnik W H.). “The patient
feels the Ocular Migraine or headache each day because at some hours his intraocular pressure
overpasses its healthy value. After repeated examinations of thousands of patients with Ocular Migraines,
we observed that they had an intraocular pressure limit without Migraine up to 16 mmHg, and
their Migraine or variants manifested with 17 mmHg until 21 mmHg”. (Translated from Portuguese)
(Izecksohn L and Izecksohn C.). When the intraocular pressure overpasses 22 mmHg, the Ocular Migraines
become mild, rare, or disappear.
Patients rarely feel the Migraine or migraine variant of intraocular pressure rise out of these limits. In
the patients with low arterial pressure and in the children, the intraocular pressure limit that can cause
Ocular Migraine is lower, about 14 mmHg. In the patient with arterial hypertension, this limit is higher.
Migraine's recurrence: The Ocular Migraine usually begins at awakening hour, when the intraocular
pressure is a little higher than the diurnal pressure (Liu J H K, and others), and disappears after few
hours, when the intraocular pressure physiologically diminishes: it is an evanescent Migraine. Meanwhile,
all three Fluids Hypertension Syndromes can present Migraines at any hour, depending on their
Etiologies or Risk Factors. The Migraines or variants recur almost every day when the cause is the
daily variation of the fluids’ pressures with some daily etiology, or every week when the main etiology
is some weekly drinking habit, or monthly when the main etiology is the monthly female cyclic hormonal
variation.
As the personal habits are recurrent or cyclic regularly, the Migraines usually recur at the same time,
over the years. A migraine’s classification based on their recurrences is classifying the recurrence of
their etiologies. All three Fluids Hypertension Syndromes can present continuous Migraines for days,
which usually is denominated as “Status Migranosus”.
V-c- Migraines and intraocular pressures reliability:
The Migraines on our patients were very frequent and disturbing, but they were not reliable symptoms
nor ever simultaneous with the rise of their intraocular pressures. Some patients, mainly men,
never feel Migraines even when their intraocular pressures were between 17 and 21 mmHg. Other patients
feel Migraines caused by the rise of the Cerebrospinal fluid pressure, which causes the
Cerebrospinal Fluid Hypertension Syndrome.
Frequently the patient’s aches happen after the pressure’s peak, when there is a reduction of his intraocular
or Cerebrospinal Fluids´ pressures. This commonly happen with the beginning of the intraocular
pressures reduction after medicating with eye drops, but also can happen at other occasions.
In some patients, one eye felt the Migraine and the other eye with the same raised intraocular or
Cerebrospinal Fluid pressures did not feel it, and this resulted in hemicranias. The same mechanism
probably happens with the Inner ears’ Perilymph or Endolymph hypertensions, which also cause hemicranias
and earaches diagnosed as “allergic Otitis”, caused by the Inner Ears’ Hypertension Syndrome.
V-d – Conditions of Intensities of Migraines or Headaches: We observed on our Migraine patients
that:
– Only the patients that fulfilled all these I to V below conditions felt the greatest intensities of Ocular
Migraines, which are the intensities 3 and 4:
I - Were women.
II - Had physiologic Optic Nerves with none or minimal damage, as Cup or Edema.
III - Were between the ages of puberty and 30-year-old.
IV - Had intraocular pressure oscillating above and below 17 mmHg.
V - Drank caffeine, which is as an etiology as an aches intensifier.