# Compression of the two IJV and unsuccessful surgery in Russia **URL:** \ **Category:** General\ **Created:** [July 16, 2026, 5:36am UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637 "2026-07-16T05:36:53Z")\ **Posts on this page:** 8\ **Page:** 7
**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, 2026, 12:33pm UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637/122 "2026-09-30T12:33:42Z")
Thank you for the info about the doctors @anon30378544 , interesting that you met two patients who’ve had the surgery there! It sounds promising that Dr Nazaryan would consider removing partially your digastric muscle, out of interest though what are his concerns about shortening the hyoid processes? I’ll add the other doctors onto our list. ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [September 30, 2026, 12:40pm UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637/123 "2026-09-30T12:40:03Z")
I can’t say for sure. But the maxillofacial surgeons are afraid to touch the greater horns of the hyoid bone, even though they have resected the anterior part/body of the hyoid bone. It’s very strange. Perhaps they haven’t had enough experience with the greater horns of the hyoid bone yet, since it’s located near the common carotid arteries. He said it’s dangerous, extremely dangerous. I can’t say exactly why… When I first saw Dr. Nazaryan, I simply didn’t come across any patients with a scar on their neck (I was looking for them).🧐 . And yesterday I saw two people with scars on their necks. So I decided to ask them some questions. )))😀 Vascular Eagle’s syndrome: difficult diagnosis in patient with recurrent transient ischaemic attack Authors: T Lyons [thomas.lyons@uhb.nhs.uk](mailto:thomas.lyons@uhb.nhs.uk), T Saunders, E Littleton, P Monksfield, and A TiwariAuthors Info & Affiliations Publication: The Annals of The Royal College of Surgeons of England Ahead of Print DOI: 10.1308/rcsann.2025.0113 2022 Aug 30;62(7):1067–1071. doi: 10.2169/internalmedicine.9567-22 Eagle Syndrome with Internal Carotid Artery Compression Causing Recurred Syncope (www pmc.ncbi.nlm.nih(dot)gov/articles/PMC10125819/) 2025 Jul 17;20(10):4962–4966. doi: 10.1016/j.radcr.2025.06.078 An unusual case of ischemic stroke resulting from hyoid bone compression of the internal carotid artery 2025 Nov 21;12:519–524. doi: 10.2176/jns-nmc.2025-0175 Vascular Eagle Syndrome in Elderly Patients Diagnosed by Dynamic Magnetic Resonance Angiography: A Case Report and Literature Review Case Author, year Age, sex Comorbidity Symptoms Neck movement at onset Mechanism Side Diagnostic modality Treatment Reference 1 Chuang et al., 2007 77 yrs., M None TIA (aphasia, rt. hemiparesis, and numbness) Rotation to left and flexion Compression Lt. CTA in the neutral and symptomatic positions Styloidectomy (11) 2 Todo et al., 2012 80 yrs., M Acromegaly TIA (dizziness and near syncope) Yes Compression Lt. CTA Styloidectomy (12) 3 Ogura et al., 2015 80 yrs., M Cholecystectomy, HTN, and prostatomegaly TIA (positional vertigo) Yes Dissecting AN Lt. CTA Styloidectomy (13) 4 Kavi et al., 2016 70 yrs., M CKD CI (aphasia and rt. hemiplegia) N/A Compression Lt. CTA N/A (14) 5 Mann et al., 2017 73 yrs., F None TIA (dizziness and lightheadedness) Rotation to left N/A N/A N/A N/A (15) 6 Aldakkan et al., 2017 85 yrs., M ICH, CKD, and DLP CI (aphasia, rt. hemiparesis, and rt. conjugate deviation) None Dissecting AN Rt. CTA ASA (16) 7 Budincˇevic´ et al., 2018 85 yrs., M None CI (dysarthria and confusion) None Compression by ECA dissecting AN Rt. CTA and MRA ASA (17) 8 Okada et al., 2022 72 yrs., M N/A CI (dysarthria and consciousness disorder) None Compression Lt. CTA 1) ASA, CLO, and argatroban 2) CAS (18) 9 Present case 74 yrs., M CKD, DM, and mental retardation CI (aphasia and rt. hemiparesis) None Compression Lt. Dynamic MRA Styloidectomy Eagle Syndrome with Internal Carotid Artery Compression causing Recurred Syncope: A Case Report Jinmei Sun, Chengjie Zhang, Beibei Liu, Yao Li, Tingting Zhang, Jun Tian, Hongyan Bi Author information Keywords: Eagle syndrome, syncope, elongated styloid process, styloid-carotid syndrome, Case report JOURNAL OPEN ACCESS Advance online publication Article ID: 9567-22 DOI 10.2169/internalmedicine.9567-22 Dynamic assessment of internal carotid artery and elongated styloid process in a case of bilateral carotid artery dissection June 2020Surgical Neurology International 11:163 DOI:10.25259/SNI\_42\_2020 2023 Dec 17;19(3):927–933. doi: 10.1016/j.radcr.2023.11.028 Bilateral carotid dissection due to Eagle syndrome Volume 16 - 2025 | DOI 10.3389/fneur.2025.1573667 Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study C123 Eagle syndrome: a case of carotid compression from elongated styloid process with distal embolic occlusions in middle cerebral arterial (mca) territory (_Journal of NeuroInterventional Surgery_ 2025; **17** :A183-A184.) Eagle syndrome causing cerebral infarction attributed to the synergistic effect of mild compression of the styloid process and carotid artery arteriosclerosis: a case report Case report Open access Published: 16 April 2026 Volume 20, article number 286 (2026) Cite this article 22 September 2026 DOI 10.3390/app16199415 Styloid Process Abnormalities and Carotid Artery Dissection in Ischemic Stroke: A Combined Narrative Review and Retrospective Cohort Study www ohni(dot)org/head-neck-surgery/patient-education/what-is-eagle-syndrome-symptoms-causes-diagnosis Functional Compression of the Right Internal Carotid Artery by the Hyoid Bone in a Patient with Moyamoya Syndrome and Low Internal Carotid Artery Bifurcation: A Case Report DOI 10.2147/VHRM.S520022 **Nazaryan D.N., Karayan A.S., Fedosov A.V. Surgical methods for the treatment of stylohyoid syndrome. Clinical Practice. 2019; 10(2):21–26. doi: 10.17816/clinpract10221–26** **Depending on the clinical manifestations, the scientist divided the syndrome into two groups: the classic stylohyoid and the stylo‑carotid syndrome. In the classic syndrome, patients report persistent pain in the pharyngeal area, which intensifies when swallowing and turning the head. In the case of stylo‑carotid syndrome, which involves direct compression of the internal carotid artery by an elongated styloid process, paroxysmal pain may occur in the temporal, orbital, or occipital regions, along with dizziness or loss of consciousness during prolonged turning of the head in the opposite direction [4]. W. Eagle described the dimensions of the styloid process.** ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [September 30, 2026, 12:44pm UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637/124 "2026-09-30T12:44:53Z")
Two more patients had pain symptoms, and a CT scan revealed their styloid processes. They haven’t had surgery yet, but Dr. Nazaryan will definitely help them; I think he’ll operate on them. One of them saw our scars and was very scared; she looked at us so fearfully that it made me laugh. ))) ---
**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, 2026, 12:53pm UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637/125 "2026-09-30T12:53:32Z")
I’d rather have a scar than be in pain! It’s surprising the variations in incisions for the ES surgery… ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [September 30, 2026, 4:06pm UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637/126 "2026-09-30T16:06:59Z")
Sensitive of people ---
**Author:** ![anon30378544](https://avatars.discourse-cdn.com/v4/letter/a/779978/32.png) [@anon30378544](https://forum.livingwitheagle.org/u/anon30378544)\ **Post date:** [October 1, 2026, 8:09am UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637/127 "2026-10-01T08:09:30Z")
Vascular Eagle’s syndrome: difficult diagnosis in patient with recurrent transient ischaemic attack Authors: T Lyons [thomas.lyons@uhb.nhs.uk](mailto:thomas.lyons@uhb.nhs.uk), T Saunders, E Littleton, P Monksfield, and A TiwariAuthors Info & Affiliations Publication: The Annals of The Royal College of Surgeons of England Ahead of Print DOI: 10.1308/rcsann.2025.0113 2022 Aug 30;62(7):1067–1071. doi: 10.2169/internalmedicine.9567-22 Eagle Syndrome with Internal Carotid Artery Compression Causing Recurred Syncope (www pmc.ncbi.nlm.nih(dot)gov/articles/PMC10125819/) 2025 Jul 17;20(10):4962–4966. doi: 10.1016/j.radcr.2025.06.078 An unusual case of ischemic stroke resulting from hyoid bone compression of the internal carotid artery 2025 Nov 21;12:519–524. doi: 10.2176/jns-nmc.2025-0175 Vascular Eagle Syndrome in Elderly Patients Diagnosed by Dynamic Magnetic Resonance Angiography: A Case Report and Literature Review Case Author, year Age, sex Comorbidity Symptoms Neck movement at onset Mechanism Side Diagnostic modality Treatment Reference 1 Chuang et al., 2007 77 yrs., M None TIA (aphasia, rt. hemiparesis, and numbness) Rotation to left and flexion Compression Lt. CTA in the neutral and symptomatic positions Styloidectomy (11) 2 Todo et al., 2012 80 yrs., M Acromegaly TIA (dizziness and near syncope) Yes Compression Lt. CTA Styloidectomy (12) 3 Ogura et al., 2015 80 yrs., M Cholecystectomy, HTN, and prostatomegaly TIA (positional vertigo) Yes Dissecting AN Lt. CTA Styloidectomy (13) 4 Kavi et al., 2016 70 yrs., M CKD CI (aphasia and rt. hemiplegia) N/A Compression Lt. CTA N/A (14) 5 Mann et al., 2017 73 yrs., F None TIA (dizziness and lightheadedness) Rotation to left N/A N/A N/A N/A (15) 6 Aldakkan et al., 2017 85 yrs., M ICH, CKD, and DLP CI (aphasia, rt. hemiparesis, and rt. conjugate deviation) None Dissecting AN Rt. CTA ASA (16) 7 Budincˇevic´ et al., 2018 85 yrs., M None CI (dysarthria and confusion) None Compression by ECA dissecting AN Rt. CTA and MRA ASA (17) 8 Okada et al., 2022 72 yrs., M N/A CI (dysarthria and consciousness disorder) None Compression Lt. CTA 1) ASA, CLO, and argatroban 2) CAS (18) 9 Present case 74 yrs., M CKD, DM, and mental retardation CI (aphasia and rt. hemiparesis) None Compression Lt. Dynamic MRA Styloidectomy Eagle Syndrome with Internal Carotid Artery Compression causing Recurred Syncope: A Case Report Jinmei Sun, Chengjie Zhang, Beibei Liu, Yao Li, Tingting Zhang, Jun Tian, Hongyan Bi Author information Keywords: Eagle syndrome, syncope, elongated styloid process, styloid-carotid syndrome, Case report JOURNAL OPEN ACCESS Advance online publication Article ID: 9567-22 DOI 10.2169/internalmedicine.9567-22 Dynamic assessment of internal carotid artery and elongated styloid process in a case of bilateral carotid artery dissection June 2020Surgical Neurology International 11:163 DOI:10.25259/SNI\_42\_2020 2023 Dec 17;19(3):927–933. doi: 10.1016/j.radcr.2023.11.028 Bilateral carotid dissection due to Eagle syndrome Volume 16 - 2025 | DOI 10.3389/fneur.2025.1573667 Anatomical characteristics of the styloid process in cerebral infarction related to carotid artery dissection: a case-control study C123 Eagle syndrome: a case of carotid compression from elongated styloid process with distal embolic occlusions in middle cerebral arterial (mca) territory (_Journal of NeuroInterventional Surgery_ 2025; **17** :A183-A184.) Eagle syndrome causing cerebral infarction attributed to the synergistic effect of mild compression of the styloid process and carotid artery arteriosclerosis: a case report Case report Open access Published: 16 April 2026 Volume 20, article number 286 (2026) Cite this article 22 September 2026 DOI 10.3390/app16199415 Styloid Process Abnormalities and Carotid Artery Dissection in Ischemic Stroke: A Combined Narrative Review and Retrospective Cohort Study www ohni(dot)org/head-neck-surgery/patient-education/what-is-eagle-syndrome-symptoms-causes-diagnosis Functional Compression of the Right Internal Carotid Artery by the Hyoid Bone in a Patient with Moyamoya Syndrome and Low Internal Carotid Artery Bifurcation: A Case Report DOI 10.2147/VHRM.S520022 **Nazaryan D.N., Karayan A.S., Fedosov A.V. Surgical methods for the treatment of stylohyoid syndrome. Clinical Practice. 2019; 10(2):21–26. doi: 10.17816/clinpract10221–26** **Depending on the clinical manifestations, the scientist divided the syndrome into two groups: the classic stylohyoid and the stylo‑carotid syndrome. In the classic syndrome, patients report persistent pain in the pharyngeal area, which intensifies when swallowing and turning the head. In the case of stylo‑carotid syndrome, which involves direct compression of the internal carotid artery by an elongated styloid process, paroxysmal pain may occur in the temporal, orbital, or occipital regions, along with dizziness or loss of consciousness during prolonged turning of the head in the opposite direction [4]. W. Eagle described the dimensions of the styloid process.** ---
**Author:** ![Isaiah\_40\_31](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/isaiah_40_31/32/3054_2.png) [@Isaiah\_40\_31](https://forum.livingwitheagle.org/u/Isaiah_40_31)\ **Post date:** [October 2, 2026, 3:24am UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637/128 "2026-10-02T03:24:24Z")
Stylocarotid Syndrome was recognized much earlier than Stylojugular Syndrome & used to be believed be the major form of vascular compression. From our experience on this forum, Stylojugular Syndrome is much more common. ---
**Author:** ![SCJeff](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/scjeff/32/15151_2.png) [@SCJeff](https://forum.livingwitheagle.org/u/SCJeff)\ **Post date:** [October 14, 2026, 8:46pm UTC](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637/129 "2026-10-14T20:46:56Z")
We have an update from the thread author who asked me to post on his behalf as his access is currently restricted: Hi, Jeff. Today I held a follow‑up online consultation with Chinese specialists, Dr. Hu and his colleagues. The previous attempt on October 10 was unsuccessful: they couldn’t open the CT scans and review my medical materials. This really upset me, as the consultation cost $300 and turned out to be completely useless. As a result, I had a falling‑out with the Chinamedpass curator, Jerry, who promised to hold the next consultation for free. Today, they finally reviewed my CT scans. However, a new problem arose: there was no translator from Russian into Chinese, and I had to speak in my own, far from perfect, English. Many of my questions remained unanswered. For example, I didn’t get any clarification regarding the possible instability of the vertebra and the condition of the Rectus capitis lateralis muscles. Nevertheless, I managed to find out the following: - They perform surgery on one side, claiming that this is sufficient for most patients. -Preference is given to the left side, as the right side has already undergone surgery. They expressed uncertainty about the success of a revision surgery on the right side, citing caution (many surgeons avoid repeat interventions). This seems strange, given that Russian doctors Nazaryan, Ara Sargisovich, and Kisilev are willing to operate on the right side. -In their opinion, my current symptoms are related to the fact that in Russia only a small part of C1 (about 6mm, but need 1 cm or more) was resected, whereas significantly more needed to be removed. They also resect the transverse process of C1 (60-80%), but they do it more carefully than Dr. Kamran Agaev, preserving the bone that covers the vertebral artery.. They never resect the digastric and stylohyoid muscles, believing that the main problem lies exclusively in C1. When I asked whether removing only the digastric muscle would be sufficient, they again emphasized that the problem is specifically in C1.And not remove even styloid process (They are removed very rarely.) -They have no experience in performing surgeries involving the hyoid bone, and they don’t see the need for it unless new CT scans show obvious compression. And I highly doubt they’ll go after the hyoid bone. -The cost of the C1 surgery on one side is approximately $6,000–$6,500, which is cheaper than at Dr. Agayev’s, but still very expensive. They are ready to perform the surgery in two weeks. -They actively boast about themselves, claiming to have performed more than 1,000 C1 surgeries. I suspect this is an exaggeration. Earlier, I sent Jerry a link that mentioned 88 operations as of May 2026. At that time, Jerry claimed that they had performed 800 operations in the last two months, which seems unrealistic. Even according to him, the hospital performs about 15 operations per week on C1, which indicates conveir approach. On Monday, I plan to discuss the situation with doctors Kiselev and Lukyanchikov, hoping that they will agree to perform a repeat operation in Russia. If not, I’ll probably go to China. Dr. Hu doesn’t consider the digastric muscle to be a problem at all; he says it’s soft and plays virtually no role. I think that removing just the digastric muscle might have a partial effect. But I was wrong about C1. C1 is indeed the main problem — it’s a simple mechanical issue. The Chinese even included a diagram in the article, and today I looked at my images and realized that the vein is stretched across C1, mainly on the rib. Overall, I’ve realized that they are professionals, and I will consider Dr. Hu’s team from China as my top choice. They have extensive experience in the field of C1, and they’ve operated on a large number of patients worldwide (I think they’ve already operated on about 250–400 people, and that’s a lot). Of course, the surgery is expensive for me (but I can manage to raise that amount of money), and I want to have the surgery done in Russia.” But I doubt that they’ll perform the operation on me in Russia, and that they’ll do it properly. So, with a high probability, I’ll go to China. [Previous page](https://forum.livingwitheagle.org/t/compression-of-the-two-ijv-and-unsuccessful-surgery-in-russia/23637.md?page=6)