So I had my Ctv done today to look for internal jugular vein compression. Some of the images attached. Does anyone know if the red arrow is my styloid? Thanks
Hi Natty04,
That does look very much like it could be your styloid, & if it is, itās very thick & itās also elongated. Both those features would certainly help cause your symptoms. Did you get an image of the other side as well?
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Thatās a better view- measuring isnāt always accurate, it looks very long though, & does look like itās compressing a blood vessel, & the cervical vertebrae process looks quite long too? A few members have had thatā¦
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In addition, I marked with a blue line a suspiciously looking structure, which to me looks like a part of calcified ligament (disclaimer: I am not a doctor).
Could it be that there are both a) elongated and very strangely pointed styloid process, and b) at least part of the ligament calcified?
In that case this part would look like a slingshot/wishbone. Probably youād like to play with the slicer a bit more, and especially adjust the āshiftā parameter (near the other controls like Preset etc.) to āhideā the vascular elements and see what kind of bony structure is over thereā¦
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Never heard about the cervical vertebrae being long. Is that congenital?
On this image I think you can see where the styloid and c1 meet the blood flow fades in the jugular
I had a look thanks. It was my other styloid on that picture. Itās a lot smaller so donāt think they would class my left side as eagles
I dont know. Im not as experienced as others reading these. Looks like the other side is elongated too. Also looks like you have quite an angle on the worst one.
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(upload://6qGoHUKpVMZdkzpIwFcttkwdfrF.jpeg)
These are some other images of the smaller side. I thought normal styloid process is around 3cm for most people?
The āaverageā is about 2.5cms
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Yes, there have been a few members with unusually long vertebral processes, I guess maybe it could be a hereditary thing.
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Your right styloid is nasty looking! So glad youāve gotten some good images of it. Iāve got to say that even your left side looks longer than average to me. I also agree that the transverse process of the cervical vertebra looks pretty long on the right. That may be due to the image angle though. I do agree w/ vdm that there may be a little calcification on your s-h ligament on the left side (see the random white spot under your jaw on the image of your left styloid). That could also just be an artifact on the image.
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Thanks for your feedback. Iām really hoping this is the cause to my mad head symptoms, ear issues and vision issues. If it isnāt, then I have exhausted all other routes.
The calcified bone in that image, is actually the other styloid, showing in that angle.
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I believe youāll find having those styloids removed will help a lot toward alleviating your symptoms. 
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Thank you. I hope so 
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Thatās my left and right side. The jugulars look compressed to me. Iām just scared for them to say itās normal and wouldnāt be causing my symptoms. Iāve had so many set backs and itās all āunremarkableā I suppose itās a protection mechanism x
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Youāre headed to the most experienced ES surgeon in the UK. Heās seen a fair number of ES patients including jugular compression in a number of cases. I know he wonāt be blind to your situation, but I also understand your fears about this being missed again. Voice your concerns & trust that Mr. Axon will give you the best possible care. 
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Donāt worry, thereās obvs issues there, so Iām sure heāll be able to help! He is very kind & patientā¦
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Thanks so much to you both. The support and reassurance on this group is truly amazing 
I think because itās nearly 3 years and Iāve had so many dead ends, Iām just scared to for another āitās all normalā or yes but it wouldnāt be causing your symptoms
Iām praying this is it it thou and I actually do have vascular eagles. Even a diagnosis at this stage would be such a blessing.
I will keep you all posted on what dr Axon comes back with.
Thanks again. I truly appreciate it x
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