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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 43
- 27 years of wide frontal migraines caused by caffeine, excessive water and beer: We had a 52year-old
housewife, two children, 1.64 meters (5 feet and 5 inches) tall, 77 kilograms (170 pounds) of
weight. She was a typical Brazilian: around 33% Indian, 33% white from Spanish and Portuguese,
33% Black. This was the first ophthalmological examination in her life. She was complaining about
daily wide frontal migraines since she was 25 year-old. She suffered also with diabetes, peptic ulcer,
and her left eye was itching, tearful and swollen daily for the last year. She was a daily drinker of coffee
200 milliliters (7 fluid ounces), caffeinated soft drinks 600 milliliters (20 fluid ounces), water 5,500
milliliters (one and a half gallon), and some beer, and sometimes wine at weekends. She was using her
husband’s old eyeglasses for near vision.
At her exam, we found “all normal” with her eyes. Deep and physiologic anterior chambers, no eyeglasses
needs for distance. Her intraocular pressures were 16 and 18 mmHg right and left eyes, which
are reasonable. Her Optic Nerve’s disks show cups of 0.2/2/0/0 and 0.4/3/2/0 right and left eyes (cup
diameter/ cup depth/ lamina cribosa’s pores visibility/ borders edema), which are physiologic, except
the visibility of the pores, but this does not configure any sickness. We only prescribed her to stop all
caffeine, wine, beer, and to reduce the water drinks to the thirst needs.
After one month, she came for another exam, cured from all those 27 years of aches, for the first
time and without any medication. She was most happy because she had lost 2 kilograms of weight,
caused by two liters of water eliminated, mainly at her belly, and now she can use her old clothes
again.
The 376 patients with wide frontal migraines had the Etiologies:
- 205 patients (54.5%) drank too much water, with an average of 3.3 liters daily;
- 204 patients (54.3%) drank Caffeine, as coffee, mate, tea or soft drinks, daily.
- 132 patients (35.1%) drank coffee, mate or tea;
- 126 patients (33.5%) drank caffeinated soft drinks;
(Note: Between those 132 patients that drank coffee, and those 126 that drank soft drinks, many were
the same. So, the total of patients that drank both was only 204, and not 258.)
- 96 patients (25.5%) presented intraocular pressure of 17 mmHg or more; out of these 96,
- 28 patients (7.4%) presented intraocular pressure of 22 mmHg or more;
- 86 patients (22.9%) drank beer;
- 63 patients (16.8%) presented shallow anterior chamber in their eyes;
- 43 patients (11.4%) took medications that raise the fluids pressures;
- 25 patients (6.6%) drank wine;
- 25 patients (6.6%) used TV or computer excessively;
- 23 patients (6.1%) presented visceral disturbances.
In these 376 patients with Wide Frontal Migraines, we found the following during the examination:
175 patients (46.5%) presented minimal Optic Nerve's borders edema, and
90 patients (23.9%) presented evident Optic Nerve's borders edema.
From those above patients with Optic Nerve's borders edema, 41 patients presented also peri-vascular
white sheaths around the Optic Nerve disk's vessels.
42 patients (11.2%) were suspects of glaucoma;
26 patients (6.9%) presented incipient glaucoma;
13 patients (3.5%) presented advanced glaucoma.
In only 35 patients (9.3%) we did not find any of the above disturbances.
We conclude that wide frontal migraines are associated with multiple other signs and symptoms;
their main etiologies are the excessive daily consumption of water, caffeine, beer, wine and
medications, presented Optic Nerves’ signs of Ocular and Cerebrospinal Fluids Hypertension
Syndromes, and are important symptoms to Glaucoma.