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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 84
Generating an invalid: We had an 8-year-old nearly black boy, a little mentally deficient, that his
mother and his teacher observed him with visual deficiency, which worsened each wakening. On the
examination we found his both eyes with advanced glaucomatous optic neuropathies: Optic nerves
with 0.9/4/2/0 (Cup diameter/ cup depth/ lamina cribosa's pores visibility/ borders edema). His best
corrected visual acuity was 20/100 (0.2) on each eye, which means a definitive visual deficiency for
life. All the remaining ophthalmological examination was normal in both eyes, with deep anterior
chambers and physiologic intraocular pressure at the office (10 mmHg). He had no other complaint or
sickness, and no medication. His mother with 26 year-old was a heavy drinker of coffee and colas
daily, since years before he was born. She fed him daily with matutinal milk and plenty of coffee, and
provided him with daily guaraná 300 milliliters. His glaucomatous optic neuropathy must have begun
during the gestation, and increased during all those nights after birth. Now, they are definitive.
Here we see a rare unfortunate combination:
Whether the mother had drank more caffeine than she did during the pregnancy, this caffeine-sensible
boy would have dyed before birth.
Whether she did not drink any caffeine during the pregnancy, and did not fed him daily with caffeine,
this boy would be healthy.
As on Brazil, nobody advised her about the caffeine poisoning, she generated an invalid with blindness
for life.
VII - E – Morning glory syndrome: It is a rare form of congenital glaucoma, caused by an embryo
malformation. Probably it is caused by the caffeine drank by the pregnant mother, added with the genetic
propensity of her embryo to this sickness.
Contents
A - Migraines felt by the glaucoma patients.
B - Migraines most related with Glaucoma.
C- Wisdom tooth aches (pain). Dental aches.
D- Cellulitis (infectious) in the cheek.
VIII) - Glaucoma and Migraine
VIII- A - Migraines felt by the glaucoma patients:
We selected all patients with any eye classified as glaucoma and distributed them by their cup/disk
ratios. The patient with right and left eyes in different stages was classified only by his worst eye.
We counted how many migraines, signs and symptoms they felt, and counted those patients who felt
nothing, and obtained the following numbers (Table VIII-1):
Glaucoma stage Patients With Migraines
Average
No Migraines
Worst eye 100% Patients % migraine
per patient
Patients %
All Glaucomas 242 205 84.7% 3 37 15.3%
Cup/Disk ratio = 0.6 105 85 81% 3.1 20 19%
Cup/Disk ratio = 0.7 84 74 88.1% 2.9 10 11.9%
Cup/Disk ratio = 0.8 30 25 83.3% 2.9 5 16.7%
Cup/Disk ratio = 0.9 16 15 93.8% 3 1 6.2%
Cup/Disk ratio = 1. 7 6 85.7% 3 1 14.3%
Table VIII-1: Distribution of patients with Glaucoma, with and without Migraines.