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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 79
We easily diagnosed these Migraines patients with the direct ophthalmoscopy of their Optic Nerves’
disks, the biomicroscopic examination of their anterior chambers, and the measure of their intraocular
pressures. We diagnosed their etiologies asking the patients daily drinks. We cured all patients who followed
our treatment.
VI- 37 - Patients without any Migraine, Sign or Symptom:
At the examination of 339 patients without any migraine or variant, we found:
a- 158 patients without any Ocular or Optic Nerve’s damage, and
b- 181 patients with some damage or pathology.
Although these 181 patients did not complain anything, they presented On the examination:
- 111 patients (61.3% out of 181) with minimal (physiologic) Optic Nerve’s borders edema;
- 33 patients (18.2% out of 181) with evident (0.5 diopters) Optic Nerve’s borders edema;
- 18 patients (9.9% out of 181or 12.5% out of the above 144 (111+33)) with Optic Nerve's borders edema,
also presented visible peri-vascular white sheaths around the Optic Nerve disk vessels.
- 20 patients (11% out of 181) suspects of Glaucoma;
- 10 patients (5.5% out of 181) with incipient glaucoma;
- 7 patients (3.9% out of 181) with advanced glaucoma;
- 19 patients (10.5% out of 181) with intraocular pressure of 17 mmHg or more;
- 5 patients (2.8% out of 181) with shallow anterior chamber;
- 4 patients (2.2% out of 181) with intraocular pressure of 22 mmHg or more.
We conclude that most patients feel the rise of their intraocular, cerebrospinal or inner ears fluids’
pressures, but there are patients who do not feel these rises at all, even with evident damage
in their eyes.
There are patients that do not complain anything even when they should. These include Down syndrome
patients diagnosed with pseudotumor cerebri, without any complaint of headache or transient
visual obscuration. (Esmaili N, and Bradfield Y S).