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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 59
Curing 29 years of obstructive rhinitis and 19 years of bi-temporal and frontal Migraines: We
had a 34-year-old, strong Black patient, newsgirl, 1.56 meters (5 feet and 1 inch) tall, 58 Kilograms
(128 pounds), no child. All her ancestors were black. She was healthy, but complained of obstructive
rhinitis at awakening since she was around 5-year-old, so strong that her mother sometimes took her
to the hospital. She also complained about strong headaches on awakening, at the frontal and bi-temporal
areas, since her 15-year-old. She tried many medications, but those symptoms always returned.
She used eyeglasses and contact lenses. She used to drink coffee 1,000 milliliter (two pints), and water
1,500 milliliter (three pints) daily, and contraceptives. She did not drink beer or wine. On the examination,
we found the need to new eyeglasses and new contacts. On direct ophthalmoscopy, she presented
Optic Nerve’s disks of 0.3/3/0/0.5 and 0.2/1/0/0.5 (cup’s diameter/ cup depth/ lamina cribosa’s pores
visibility/ borders edema) in the right and left eyes. She also presented white sheaths around the inferior
arteries and veins at both Optic Disks. This examination demonstrates unquestionably the rise of
the Cerebrospinal Fluid above the intraocular pressure, pressing both Optic Nerves from behind. The
exact pressures measures have no use. The headaches and rhinitis all those years were the symptoms
of it. We prescribed her the new eyeglasses and to shorten those drinks.
She came again after two years in order to do new eyeglasses and contacts. She told us that she had
reduced the water and coffee, and now only drank water around 1,000 milliliter (two pints) and coffee
200 milliliter (half pint) each day. She felt no more rhinitis or headaches, and was grateful about it.
The direct ophthalmoscopy show exactly the same aspect, which is consequent to the remaining daily
coffee and contraceptives; but with the coffee reduction she made, the sleeping peaks of Cerebrospinal
fluid’s tension disappeared, and with them also disappeared the matutinal rhinitis and headaches.
VI-11 – Menstrual Rhythmic Variation of Intraocular, Cerebrospinal and Inner Ears’ Fluids
Pressures (Premenstrual syndrome) (Menstrual-related migraine):
Some women presented a cyclic worsening of their migraines with the menstrual periodicity, when
the estrogen level peaks and falls.
From 772 women, 590 (76.4%) suffered with migraines; out of these 590 we collected 95 patients
(16%) whose Migraines worsened with the menses.
The Migraines, signs and symptoms most worsening with the menses of these 95 patients, were:
- 64 patients (67.4%) with wide frontal Migraines;
- 53 patients (55.8%) worsened on awakening;
- 37 patients (38.9%) with temporal or head-top (vertex) migraines;
- 26 patients (27.4%) with tearfulness and Rhinitis;
- 23 patients (24.2%) with ocular migraines;
- 22 patients (23.2%) with occipital migraines;
- 18 patients (18.9%) presented photophobia;
- 17 patients (17.9%) presented nausea and retching or vomits;
- 16 patients (16.8%) with itching eyes or blepharitis;
- 13 patients (13.7%) presented eyelids edemas;
- 10 patients (10.5%) with eye’s redness;
- 7 patients (7.4%) with Chronic cough without any pulmonary lesion;
- 7 patients (7.4%) with dizziness - vertigo.
In addition, other lesser signs or symptoms.
The Etiologies of these 95 women with menstrual migraines, besides the menses, were:
- 58 patients (61%) drank too much water daily, with an average of 3.3 liters each day;
- 56 patients (58.9%) drank caffeine, as coffee, tea, mate or soft drinks daily.
- 36 patients (38%) drank coffee, mate or tea,
- 34 patients (36%) drank caffeinated soft drinks;
- 19 patients (20%) drank beer,
- 6 patients (6%) drank wine; two of these six drank beer and wine.
On their first exam, we found in these 95 patients with menstrual migraines: