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

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<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 78<br />

- Curing transient reduction of visual acuity caused by caffeine and excessive water: We had a<br />

white woman, broker, 50 year-old, 1.63 meters (5 feet and 4 inches) tall, weighing 65 Kilograms (143<br />

pounds), complaining of intense migraines for years, many times examined and unsuccessfully medicated.<br />

She has high Hyperopia with +5.25 diopters on right and +5.00 diopters on left eyes, and even<br />

with her best eyeglasses correction she presented visual acuity of 0.8 and 0.9 at right and left eyes. Her<br />

intraocular pressures were 13 and 13 mmHg in both eyes. Her Optic disks show borders edema of<br />

about 1 diopter in both eyes. She was a drinker of coffee 150 milliliter (5 fluid ounces) and some 4<br />

liters (one gallon) of water daily. We told her to stop the caffeine and reduce the water drinks. After<br />

one month without caffeine and less water drank, she returned feeling better, without any migraine,<br />

and her visual acuity with the same eyeglasses was 0.95 and 1.0 at right and left eyes. This patient<br />

presented the typical recovery of visual acuity after reduction of her Cerebrospinal Fluid <strong>Hypertension</strong><br />

Syndrome.<br />

- Curing transient reduction of visual acuity caused by caffeine and excessive water: We had a<br />

young and healthy white patient, economist, 23-year-old, 1.83 meters (6 feet) tall, weighting 79 Kilograms<br />

(174 pounds), myopic, who presented transient reduction of his visual acuity lasting for minutes<br />

and relapsing after few days. His exams were almost physiologic, intraocular pressures of 14 and 14<br />

mmHg in both eyes, but his Optic Nerves disks show 0/0/0/0.5 and 0/0/0/0.75 right and left eyes (cup<br />

diameter/ cup depth/ lamina cribosa’s pores visibility/ borders edema), which characterizes the<br />

Cerebrospinal Fluid <strong>Hypertension</strong> Syndrome. He was a daily drinker of coffee 150 milliliter (5 fluid<br />

ounces), guaraná and other caffeinated soft drinks 300 milliliter (10 fluid ounces), and water 2,700<br />

milliliter (6 pints). We oriented him to stop all those drinks and reduce the water to the thirst needs,<br />

and he came after 3 months “all better” with his words. He was still presenting the Optic Nerves borders<br />

edema but not so evident, because this signal usually take years to disappear.<br />

VI- 34 – Neuralgias, Back pains, Fibromyalgia, Joints pains, and Rheumatic aches (pain): We had<br />

patients with aches at many places for years, with multiple diagnosis and treatments, but no cure.<br />

When submitted to our treatment, described below, they have cured in around one month and without<br />

medications. Other doctors measured its occurrence: “Fibromyalgia syndrome was present in 36.4%<br />

of patients and prevailed significantly in tension-type headache and in patients with higher headache<br />

frequency. Headache frequency, pericranial muscle tenderness, anxiety and sleep inadequacy were especially<br />

associated with Fibromyalgia syndrome comorbidity.” (Tommaso M, and others).<br />

A question to you: which of these sufferings is not caused by the caffeine? Don't you know? No one!<br />

VI- 35 – Migrainous facies: It is a dark color beneath or around both eyes, usually simultaneously on<br />

the four eyelids and a little beyond them. The migrainous facies pigmentation occurs simultaneously<br />

with small atrophy of the eyelids and the orbital fat, resulting in small bilateral enophthalmos.<br />

We had patients with the migrainous facies caused by years of chronic <strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong>,<br />

so intraocular with glaucoma, so Cerebrospinal fluid ones, and respective migraines. It can be<br />

caused by other diseases or by some eye drops that lower the intraocular pressure, mainly (but not exclusively)<br />

the prostaglandin analogues. We do not know its pathophysiology. We did not make statistics<br />

about this. Its excess seems to be the Haggard appearance.<br />

Haggard appearance: Although there are authors connecting this appearance with the caffeine excess.<br />

Along our 40 years of ophthalmology, the few patients we saw with the Haggard appearance where suffering<br />

with the Human Immune-deficiency Virus (HIV), or with advanced Tuberculosis or Cancer.<br />

VI – 36 - Other Signs and Symptoms: There are many other signs and symptoms caused by the <strong>Fluids</strong><br />

<strong>Hypertension</strong> <strong>Syndromes</strong>, listed at the Summary, which we did not make statistics.<br />

We conclude that most etiologies, aches, migraines and interchangeable signs and symptoms<br />

(Migraine variants) are common to the three <strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong>, with small statistical<br />

differences between them. Few are the etiologies, migraines, signs or symptoms exclusive of<br />

only one Fluid <strong>Hypertension</strong> Syndrome.

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