Three particular informational sources have played a key role in making sense of disparate symptoms:
- The Driscoll Theory by Dr. Diana Driscoll. Although primarily focused on Ehlers-Danlos/POTS patients and the particular Intracranial Pressure Dysregulatory Disorder these patients often experience – Intracranial Hypotension – especially her observations about the carotid triangle, vagus tone, and cerebrospinal pooling/blockage due to “brain sag”.
- Adrenal Fatigue Syndrome by endocrinologist Dr. Michael Lam, MD and Dorine Lam, RD, MS, MPH. A well written book describing endocrine system interactions as a result of long term, high level stress, how that system begins to become dysregulated, and the hormonal consequences thereof, as well as approaches in dealing them.
- Multiple Research Papers that have documented the presence of hormonal receptors in the cells that produce CSF. In a word, many of these hormones become dysregulated in Adrenal Fatigue/Failure. Each in its unique way contributes to increases in blood pressure, CSF production – or, as in the case of aldosterone – is responsible for both. This means increased blood pressure & therefore increased Cerebrovascular Dynamics as well as increased CSF production. The perfect storm for development of elevated ICP, and if not controlled, an ICPDD in patients with predisposing factors. Some receptors are estrogen/progesterone sensitive, possibly explaining why patients are more commonly female. Further, looking back to Dr. Lam and Dorine Lam’s body of work, it will be interesting to compare the upswing in ICPDD diagnosis with the increase in estrogen-like compounds in everything from food supply to dental fillings.
All these fell in my lap within a two week period in December 2018 while I was hunkeringS down waiting for a shunt revision, and to my surprise, they did not lead me to what I was looking for: why I developed IIH.
Well, sort of.
They actually led me to a conclusion that I cannot emphasize enough, hence the big letters here:
“The Secondary Acquired Adult Onset form of the “disorder” known as IIH is actually a complex symptom of a dysregulated endocrine system, including “Adrenal Fatigue”, which is most commonly caused by chronic stress. Therefore, I name CHRONIC STRESS to be the main cause of altered/elevated ICP and the onset of ICPDDs, and the ultimate reason I developed an ICPDD.”
Shuntwhisperer’s Neuroendocrine Theory of IIH, Dec 2108
But wait, there’s more:
“Successful treatment of ICPDDs must necessarily involve endocrine function AND CAPACITY* before any ICPDD can be successfully treated. To treat only the ICPDD is treating only the symptom; without lifestyle/dietary changes and endocrine support can possibly condemn a patient to unnecessary prolongation of their ICPDD.”
Shuntwhisperer Neuroendocrine Theory of IIH Corollary #1 Jan 2019
And just when you didn’t think it could not get ANY better:
“Elevated ICPs cause deformation and damage to key portions of the brain controlling the endocrine regulation, especially the HPA Axis. The HPA axis must be well regulated to maintain ICP equilibrium. THEREFORE: TREATMENT OF ICPDDS WITHOUT TREATMENT OF ASSOCIATED ENDOCRINE DYSREGULATION WILL BE SUBOPTIMAL.”
Shuntwhisperer’s Neuroendocrine Theory of IIH Corollary #2 Jan 2019
In other words, endocrine dysregulation that leads to an ICPDD, left untreated, can cause the ICPDD to persist, and more corollaries are coming.
But don’t take my word for it.
Take an expert’s. I swear, I did not rip this off, but Dr. Lam’s book led me to the same conclusion:
Been a long hot summer day. I miss Trina. Leaving you to it.
July 11, 2019