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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 58
No Migraines 339 18 5.3%
Total 1,270 108 8.5%
Table VI-2: White sheaths around Optic Nerve’s disk vessels with and without Migraines from the
1,270 patients.
These 108 patients with peri-vascular white sheaths around the Optic Nerve’s disk vessels had
the following Etiologies:
- 63 patients (58.3%) drank caffeine, as coffee, tea, mate or soft drinks daily.
- 52 patients (48.1%) with the ingestion of an average of 3.300 milliliter of liquids daily;
- 42 patients (32.9%) with caffeinated soft drinks;
- 42 patients (32.9%) with beer drinks;
- 35 patients (32.4%) with coffee, mate or tea drinks;
- 9 patients (8.3%) with medications that increase the intraocular pressure;
- 9 patients (8.3%) with wine drinks;
- 6 patients (5.6%) with visceral disturbances;
- And other lesser frequent etiologies.
The Migraines, signs and symptoms most related with these 108 patients with peri-vascular white
sheaths, were:
- 41 patients (38%) with wide frontal Migraines;
- 32 patients (29.6%) worsened on awakening;
- 23 patients (21.3%) with tearfulness and Rhinitis;
- 21 patients (19.4%) with itching eyes or blepharitis;
- 20 patients (18.5%) with temporal or head-top (vertex) migraines;
- 16 patients (14.8%) with ocular migraines;
- 16 patients (14.8%) with eye’s redness;
- 14 patients (13%) with occipital migraines;
- 13 patients (12%) with dizziness - vertigo;
- 13 patients (12%) presented photophobia;
- 7 patients (6.5%) presented nausea and retching or vomits;
- 7 patients (6.5%) with Chronic cough without any pulmonary lesion;
- 5 patients (4.6%) presented eyelids edemas;
and other lesser signs or symptoms.
- Only 18 patients (16.6%) did not present any migraine, sign or symptom.
On their first exam, we found in these 108 patients with peri-vascular white sheaths:
- 74 patients (68.5%) presented evident (0.5 diopters or more) Optic Nerve’s borders edema;
- 33 patients (30.6%) presented mild Optic nerve’s borders edema;
- 4 patients (3.7%) presented suspicion of glaucoma;
- 2 patients (1.9%) presented incipient glaucoma;
- No patient presented advanced Glaucoma;
Only one patient, a man with 18-year-old and beer drinker presented white sheaths and no Optic
Nerve’s borders edema or glaucoma.
We conclude that white sheaths around the Optic Nerve’s disk vessels are characteristic from
the Cerebrospinal Fluid Hypertension Syndrome. They happen in 9.7% of patients with Migraines
or variants, but also happen in 5.3% of patients without any migraine.