Desperate for treatment

Im desperate for help. Mine “started” in July…moving tooth and jaw pain. I was bounced around between dentists getting teeth pulled and root canals, even though xrays showed nothing, I demanded they do it. Then it was on to a neurologist who thought I had trigeminal neuralgia. My migraines I had since a teenager changed in position and intensity, no longer being helped by any of my normal migraine meds. I developed ringing in ears, ear fullness, heartbeat in ears, head pressure feeling (like im hanging upside down all the time), double/blurry vision, balance issues, cognitive issues, depression, anxiety, panic attacks, personality Changes. My symptoms kept snowballing. I saw neurologists, ENT, neurosurgeons, eye dr’s, dentists, was started on splints for TMJ, ER visits, hospital stays, steroids, nerve blocks, botox, MRI’s, MRV, cat scan, lumbar punctures, every blood test imaginable, MRA…all to be told all my scans are normal, there is nothing wrong with you…and have you considered this is all emotional and maybe you should try antidepressants and therapy??

It was at this point I knew my health could not be left in medical hands, so I gathered all my scans and Google searched every word in them. It was then I noticed a cone beam scan taken at dentist in very beginning noted elongated stylohyoid of 42mm bilaterally…my search quickly led to jugular compression which was all my symptoms EXACTLY. I didn’t know what to do with this, so I made an appt with another ENT, and he was humble enough to admit he thought I was on to something, although its something he doesn’t treat, nor did he know where to send me. He was very knowledgeable about it, and explained in detail with the venous portion, more is required than just removing stylohyoid. He explained the structural space issue, and it made sense. He did order ct venogram and catheter venogram. So its now armed with these results that I am desperately seeking treatment. I was so excited when I was able to get an appt at The Cleveland Clinic, I thought that would be the answer. I was shocked to find the ENT there was only concerned about removing the styloid, and the jugular compression meant absolutely nothing to her. She said she didn’t care if my jugular was compressed, all she does and would do is remove my styloid and said she didn’t feel doing this would even solve any of my symptoms. And would not even refer me on to anyone else on the campus. Major disappointment. That was last week, and ive been doing nothing but phone calls since to find a dr who will treat the vascular variant. I talked to several that would treat me, but no openings till September. Im convinced ill be dead by then if not treated. My symptoms keep nosediving, and fast. If I didn’t know what I was dealing with, I would swear I have early onset dementia. And the headaches/ Pressure are excruciating, not to mention the constant assault on your central nervous system.

Now, looking back, I can see that I have had symptoms of this for years.

So Any suggestions? And advice on how to be seen sooner? Idk what do if there is a long wait everywhere… Images attached.

Hi @Cindyd & welcome!
Well done to you for not giving up, researching yourself and for getting a diagnosis! Sadly you’re not alone with being fobbed off for years, it’s a common story on here…
I’m not able to label imaging, but looking at the first image it looks as though the C1 process is causing IJV compression along with the styloid, so you would be best to see a doctor who does a C1 shave as well. Unfortunately as there are so few doctors who do this, they do have long waits- Dr Hepworth in CO I think has the longest, Dr Cognetti in PA also is not seeing patients very quickly. I think that Dr Costantino in NY has a shorter waiting list, and also Dr Nakaji in AZ, although he requires more invasive testing…You mention having a catheter venogram; did you have pressure manometry with this as well? It’s one of the tests that Dr Nakaji wants doing before he agrees to surgery.
That’s not the news you wanted to hear I’m sure, but there are some medications which can help with IJV compression symptoms while you wait like Plavix, Brillinta, Eliquis, Xarelto, Diamox. Also some members have found supplements help a little, but obviously check with your doctor if you’re on other medications- Creatine, Trimetazidine & Citicoline have helped some members.
Sleeping propped up can also help with the head pressure- you’d need to do that after surgery so not a bad idea to get used to it beforehand! My head pressure was pretty grim before surgery so I had to sleep in a recliner for a while…
So sending you a hug, and hope that you can get an appointment to see one of these doctors, here’s the list in case you’ve not seen it:
Doctor Lists – no discussion - Symptoms and Treatments / Doctor Information - Living with Eagle
:hugs: :hugs:

Thanks!! Im literally reaching out to everyone on list to be seen ASAP. Reached out to all you mentioned, and the dr in turkey. I was on diamox, and had to go off of it for testing to be accurate. So I hesitate to go back on it till I know all testing is completed. Im having a venogram catheter assisted on Jan 30. I already sleep elevated, couldn’t tolerate not. And I failed to mention I am having bladder issues also, and attacks of increased heart rate. I think its pathetic our health system diagnosis procedure and waits. It be easier if I had cancer.

2 Likes

I’m sorry that you’re having other issues too…the attacks of increased heart rate could possibly be vagus nerve compression, it lies next to the IJV so this could well be affected too. Other members have had heart rate & BP spikes from this…
It would be a shame to have to travel to Turkey for surgery when there’s US doctors, but I understand that you’re feeling awful. We do usually suggest members get second opinions if they can too, but that makes it an even longer process…
I’m in the UK & these waiting times are nothing for our NHS, but if you can pay you can get seen quicker. I think healthcare seems to be pretty broken where ever you are :cry:

1 Like

@Cindyd Hi I am fench and I have the same way as you since April 2025!

As you said I also told my husband It be easier if I had cancer.” But the ORL ,neurologist…said “be happy it is not a cancer”! I knwo cancer is very dangerous but doctors don’t said you are psychiatric patient!

1 Like

Sorry you are feeling poorly, i know sometimes it’s overwhelming. And unfortunately such a waiting game for appts. Glad you have the venogram scheduled, that is a great start. Because wherever you go they will want to see that. I know dr Nakaji likes his venogram performed in AZ. Unless he recently changed that protocol. I also am on medication for my heart arrythmia, diagnosed by cardiology but i believe it’s connected with the ijv compression. Hope you can schedule with a provider soon.

2 Likes

May I ask what medication you take for your heart arrhythmia, @birdie1 ? I deal with the same thing majorly, and I always have a difficult time falling asleep because it’s almost worse when I lie down. Does the medication work well enough to recommend it?

1 Like

I am on flecainide for the arrythmia. I had pvc’s then switched to svt’s couple adjustments with dose and doing better. I take muscle relaxers tizanidine helps with sleep. I have dystonia also causing tremors… maybe also connected to the ijv compression

1 Like

OK thanks. Likely I’ll talk to my doctor about the possibility of trying it… I also take Tizanidine to help with sleeping better, but it’s only effective as long as I remember to take it! I had been off it for a while, but in the last 6-12 mo., have been relying on it more and more.

1 Like