Pots/ Double Vision/Diamox:Can you have both Intracranial hypertension and hypotension in different parts of your brain at the same time?

[jennifer7854]

Hello, I have Ehlers Danlos, pots, and the last 3 years idiopathic 6th nerve palsy..vertical diplopia at all times on the peripheral. I have now tried Diamonx twice and it makes my pots much worse but I feel like the pressure behind my eyes are much better. My double vision is the same but moving my eyes from side to side seems better (easier and more fluid) and I don’t get the pressure pain behind my eyes when I bend down like I do when I am not taking Diamox. Is it possible to have both Intracranial hypertension and hypotension at the same time (different parts or the brain) and if so any suggestions?

[Barbara]

I can see that it’s possible to have pressure behind the eyes caused by raised intracranial pressure (ICP) from excess cerebro spinal fluid (CSF) collection within the skull and also be suffering from hypotension (especially if the ICP is caused by a blockage to the flow of the CSF, for example) and the hypotension is merely lack of fluid.

As far as my memory goes though for POTS, it’s usually defined by tachycardia without hypotension, unless things have changed.
Regards
Barbara
(UK)

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