All 3 of the doctors you mention are experienced with VES, and also Dr Cognetti in PA, they all do C1 shaves as well. If possible we suggest that members get a couple of opinions, and then chose who you feel more confident with?
The body can compensate to a point with the collateral veins, but it does vary- for example some people have a tiny non-dominant IJV from birth, some have even only got one IJV and they manage fine, but others don’t manage well if one IJV is compressed…we don’t know why! If you’re getting symptoms of IJV compression like head and ear pressure, dizziness, off-balance feeling, pulsatile tinnitus for example then that would indicate that the pressure is building inside your head & the veins aren’t coping.
If the vagus nerve is being compressed or irritated, this will cause symptoms, again it does vary but the body can’t compensate for that. Some cranial nerves are visible on a FIESTA MRI, & we presumed that the vagus nerve would also show, but I think Dr Aghayev mentioned on the info video he’s done that the vagus nerve can’t be shown on imaging… But surgery would hopefully resolve this once you’ve healed, although it can take quite a while.
Here are links to videos by Dr Costantino & Dr Aghayev if you wanted to learn more about IJV compression:
A Review Of IJV Compression by Dr Aghayev - General / Research Papers - Living with Eagle
Dr Costantino IJV compression and surgery - Symptoms and Treatments / Doctor Information - Living with Eagle
Hope this helps!
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