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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 57
- 16 patients (12.9%) felt occipital migraines;
- 12 patients (9.7%) presented dizziness - vertigo;
- 11 patients (8.9%) suffered from nausea and retching or vomits;
- 8 patients (6.5%) presented Chronic cough without any pulmonary lesion;
- 8 patients (6.5%) presented chronic sneezing;
- 6 patients (4.8%) presented obstructive rhinitis;
- 5 patients (4%) presented transient visual darkening;
And other lesser frequent signs and symptoms.
The 124 patients with photophobia had the Etiologies:
- 68 patients (54.8%) drank too much water, with an average of 3.3 liters daily;
- 62 patients (50.0%) drank caffeine, as coffee, tea, mate or soft drinks daily.
- 42 patients (33.9%) drank caffeinated soft drinks;
- 38 patients (30.6%) drank coffee, mate or tea;
- 35 patients (28.2%) presented intraocular pressure of 17 mmHg or more; out of these 35,
- 8 patients (6.5%) presented intraocular pressure of 22 mmHg or more;
- 32 patients (25.8%) drank beer;
- 20 patients (16.1%) presented shallow anterior chamber in their eyes;
- 9 patients (7.3%) drank wine;
- 8 patients (6.5%) took medications that raise the fluids pressures;
- 6 patients (4.8%) presented visceral disturbances.
- 4 patients (3.2%) used TV or computer excessively.
In these 124 patients with photophobia, we found during the examination:
- 60 patients (48.4%) presented minimal Optic Nerve's borders edema, and
- 27 patients (21.8%) presented evident Optic Nerve's borders edema. From these:
- 13 patients presented also peri-vascular white sheaths around the Optic Nerve disk vessels.
- 9 patients (7.3%) were suspects of glaucoma;
- 6 patients (4.8%) presented incipient glaucoma;
- 7 patients (5.6%) presented advanced glaucoma.
- In only 10 patients, (8.1%) we did not find any of the above disturbances.
We conclude that the main etiologies of photophobia (light sensitivity) are the excessive daily
consumption of water, caffeine, beer, medications and wine; 91.9% of them presented Optic
Nerves’ signs of Ocular or Cerebrospinal Fluids Hypertension Syndromes, and 17.7% of them
had Glaucoma.
VI-10- Peri-vascular white sheaths around Optic Nerve’s disk vessels: Together with the small edemas
of Optic Nerve’s disk margin, we found in some patients small and subtle visible edemas as perivascular
white sheaths around the arteries and veins only at the Optic Nerve’s Disk. This aspect is typical
of the Cerebrospinal Fluid Hypertension, so with Migraines with 9.7% of visible peri-vascular
white sheaths out of 931 patients, so without Migraines with 5.3% of visible peri-vascular white
sheaths out of 339 patients (Table VI-2).
.
Peri-vascular white sheaths at Optic Nerve's disk vessels,
in Cerebrospinal Fluid Hypertension Syndrome.
Total Patients
Patients with white
sheaths
With Migraines or variants 931 90 9.7%
%