# Anyone form Georgia? Whom did you see for eagles and vascular eagles diagnosis?

**URL:** <https://forum.livingwitheagle.org/t/anyone-form-georgia-whom-did-you-see-for-eagles-and-vascular-eagles-diagnosis/10112>\
**Category:** Symptoms and Treatments\
**Created:** [September 30, 2021, 5:16pm UTC](https://forum.livingwitheagle.org/t/anyone-form-georgia-whom-did-you-see-for-eagles-and-vascular-eagles-diagnosis/10112 "2021-09-30T17:16:48Z")\
**Posts on this page:** 4\
**Page:** 1

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**Author:** ![Newuserhere](https://avatars.discourse-cdn.com/v4/letter/n/a3d4f5/32.png) [@Newuserhere](https://forum.livingwitheagle.org/u/Newuserhere)\
**Post date:** [September 30, 2021, 5:16pm UTC](https://forum.livingwitheagle.org/t/anyone-form-georgia-whom-did-you-see-for-eagles-and-vascular-eagles-diagnosis/10112/1 "2021-09-30T17:16:48Z")

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Hi,

I didn’t have any diagnosis for eagles yet. I have pain and symptoms since May 2020. No relief yet. It’s been the same till now. Constant pain in the lower jaw under ear lobe and neck, throat and upper back. Have seen dentists, oral surgeons TMJ specialists physical therapists, Neuro doctor and no relief yet.

I have taken CT scan of neck with contrast and it’s not very evident about eagles. It says I have mild calcification of stylohyoid ligaments on this paining side and shorter styloids. I will paste my report and add the CT images.  
I have sent my records to Dr Samji and he dismissed my case as my styloids are shorter. I didn’t see any other eagles specialist ENT yet.

I have seen a vascular neurologist in GA who listed in the group doctor list. He didn’t review my CT though. He referred me back to the ENT Dr Vick( whose name is listed on the group list) and ordered me CTA scan to see if any Vascular components involved. He said I need to check those to rule out vascular issues. I have an appointment with Dr Vick and would like to know if anyone seen him before.

Does CT scan of neck with contrast will show any vascular compression issues? Or we need to take CTA to see those?

Have any of you seen any out of state doctors for eagles and vascular eagles diagnosis ? Whom did you consult ?

My current symptoms are,  
-constant pain in the lower jaw under the ear lobe and the neck since day 1 for 1.5 years now.

- Ear ringing and soreness
- clicking and grating sound in the jaw while opening the mouth. Jaw deviates to left while closing. TMJ MRI and cbct clear.
- Constant feel of something stuck in throat and feel like poking through.
- biting pressure sensitivity on tooth 30. Cbct clear. Had root canal.
- bite is not even and back molars not touching properly on this right side.(checked my occlusion and dentist said it might be because of muscle tightness)
- sore pain in the throat
- sore pain in the tooth 30 and gum area even when not touching and biting. It hurts for brushing and even when I press or push through fingers or tongue.
- constant burning and soreness in jaw line, jaw under ear lobe, behind the ear, upper neck ,base of head and throat. Only on right.

My CT report:  
Addendum:

Right styloid process: Not elongated, measuring about 0.3 cm.  
Right stylohyoid ligament: Calcified distal portion, which measures  
about 0.8 cm. This is located about 2.1 cm from the tip of the right  
styloid process.

Left styloid process/stylohyoid ligament: Borderline top normal size of  
the left stylohyoid ligament, which is in continuation with the  
elongated left styloid process, measuring about 2.4 cm combined. One  
cannot differentiate between what is considered the left styloid process  
and a calcified stylohyoid ligament in this case. In regards to Eagles  
Syndrome, an elongated styloid process or a calcified stylohyoid  
ligament can both result in pain. Eagles Syndrome is ultimately a  
clinical diagnosis.

Two BB markers were place in the region of focal pain in the right face  
and right neck. There is no focal abnormality underlying these BB  
markers.

12/28/2020 3:43 PM PXRRR02R

Addendum: The left stylohyoid ligament is calcified and measures 2.4 cm,  
which is borderline top normal. This is in continuation of the left  
styloid process, which essentially can be considered elongated.

12/24/2020 4:26 PM RAADOCS006

Addendum: The right styloid process is not elongated. The calcified  
distal portion of the right stylohyoid ligament measures 0.8 cm and is  
located about 2.1 cm from the tip of the right styloid process.

12/24/2020 3:47 PM PXRRR14R

Addendum:  
Additional clinical indication: Evaluation for Eagle’s syndrome.

The left stylohyoid ligament is calcified and measures 2.4 cm, which is  
borderline top normal. The right stylohyoid ligament is mildly calcified  
along the distal aspect on series 4, images 34-35.

Narrative  
CT SOFT TISSUE NECK W CONTRAST

TECHNIQUE: CT images of the neck were obtained with intravenous  
contrast. Isovue-370 was injected without complications. Dose reduction  
techniques were utilized for this examination. DICOM format image data  
is available to non-affiliated external healthcare facilities or  
entities on a secure, media-free, reciprocally searchable basis with  
patient authorization for at least a 12-month period after the study.

CLINICAL INDICATION: Lymphadenopathy, neck;Localized enlarged lymph  
nodes;Cervicalgia.

COMPARISON: Neck ultrasound August 28, 2020.

FINDINGS:  
Aerodigestive Structures: The nasal cavity, nasopharynx, oral cavity,  
oropharynx, hypopharynx, larynx, and included trachea and esophagus  
demonstrate no masses or abnormal enhancement.

Lymph Nodes: No pathologically enlarged, necrotic, or otherwise abnormal  
lymph nodes.

Vasculature: Normal.

Salivary Glands: Normal parotid and submandibular glands.

Thyroid: Normal.

Visualized Intracranial Structures: Normal.

Included Orbits: Normal.

Paranasal Sinuses/Mastoids: Predominantly clear.

Included Lung Apices: Normal.

Bones/Soft Tissues: No aggressive osseous lesion. No acute soft tissue  
abnormality.

Any thoughts anyone. Thanks for reading!!!

 ![received_2010721199075136](https://canada1.discourse-cdn.com/flex027/uploads/ben_eagle/original/2X/6/6d53564c27f60b2b6f275d5b06eaec9f8fc2197e.jpeg)  
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**Author:** ![Jules](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/jules/32/404_2.png) [@Jules](https://forum.livingwitheagle.org/u/Jules)\
**Post date:** [September 30, 2021, 7:29pm UTC](https://forum.livingwitheagle.org/t/anyone-form-georgia-whom-did-you-see-for-eagles-and-vascular-eagles-diagnosis/10112/2 "2021-09-30T19:29:02Z")

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Have replied on your other post…

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**Author:** ![Newuserhere](https://avatars.discourse-cdn.com/v4/letter/n/a3d4f5/32.png) [@Newuserhere](https://forum.livingwitheagle.org/u/Newuserhere)\
**Post date:** [September 30, 2021, 7:40pm UTC](https://forum.livingwitheagle.org/t/anyone-form-georgia-whom-did-you-see-for-eagles-and-vascular-eagles-diagnosis/10112/3 "2021-09-30T19:40:58Z")

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Thanks a lot @Jules . I appreciate it.  
I just replied to it.

Also forgot to mention one thing, I sent my records to Dr Cognetti and waiting for his review. Not sure if he evaluate for vascular eagles too.

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<div class="post-metadata">

**Author:** ![Jules](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/jules/32/404_2.png) [@Jules](https://forum.livingwitheagle.org/u/Jules)\
**Post date:** [October 1, 2021, 7:05pm UTC](https://forum.livingwitheagle.org/t/anyone-form-georgia-whom-did-you-see-for-eagles-and-vascular-eagles-diagnosis/10112/4 "2021-10-01T19:05:26Z")

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Let us know what you hear from him, although I believe that he doesn’t take styloids back to skull base, so as yours aren’t particularly long it might not make enough of a difference for you, I’m not sure…
