It’s promising that the surgeons would remove the styloids to skull base & do external surgery… unfortunately there’s no way to tell for sure if just having the styloids removed will be enough to open up the IJVs… It would be good to speak to Dr Aghayev, from what members have shared on here, he does usually seem to be pretty proactive with doing a C1 shave, I can’t think of anyone who has spoken to him who he hasn’t suggested this surgery to- but maybe everyone who consulted him definitely did need it! I get the feeling that Mr Axon is a bit more cautious…so would be good to speak to both of them.
This paper that @TheDude posted is helpful with explaining symptoms of venous compression, mentions that some people are more symptomatic than others, and mentions a styloidectomy helping to relieve the compression:
Cerebral venous outflow revisited: Contemporary insights to simplify a complex disease - Kyle M Fargen, Charles Stout, Jan Vargas, Omar Ashraf, Adnan Siddiqui, Ferdinand K Hui, 2025
And another one he posted by some of the US VES doctors:
Interventional and surgical management of internal jugular venous stenosis: a narrative review | Journal of NeuroInterventional Surgery
This one’s helpful as it mentions the compression between the styloid & C1, & how a C1 shave was needed as well as the styloid being removed:
Another Paper about IJV Compression - General / Research Papers - Living with Eagle
HO; COGNETTI et al. (2015) - Styloid/C1 transverse process juxtaposition as a cause of Eagle’s syndrome – Article about Eagle’s syndrome caused by styloid processes being close to the C1 - General / Research Papers - Living with Eagle
And one by Mr Axon:
Dr. Higgins & Dr. Axon : Spontaneous Intracranial Hypotension Complicated by Subdural Effusions Treated by Surgical Relief of Cranial Venous Outflow Obstruction - General / Research Papers - Living with Eagle
Hopefully some of these will be helpful!
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