Do i have Eagles? My story

Hello everyone thank you for this amazing forum in search of answers. I will share my story in as much detail as I can and would love honest opinions.

In September of 2024 i returned back to Boston from Ecuador with a small cold, i took an edible to help me sleep and the next day i had to work at my summer job at a restaurant. That day at work I just felt off, I had this unexplainable dizziness and felt like I was going to collapse. I had this weird tunnel vision and was inside my head with my body freaking out like something is wrong. I kept telling myself it was probably the edible and to try not to think about it, but a 12 hour shift felt like hell. The next day I woke up the same, went to work all day wanting to cry because I just didn’t feel right. That night I went to the ER, and spent the whole night waiting to be seen, all my blood work, EKG, and a US of my leg for DVT was all normal. I was worried because I was flying back to Greece in two days, but they told me I was fine.

I am a 3rd year medical student studying in Thessaloniki, I flew back and when i landed on my layover in Germany my dizzy feeling came back. I started to panic again. My mom was diagnosed with Meniere’s in her 30s so it was my first thought. When I got to Greece I went to see one of the top ENTs in Thessaloniki who put me through many tests and I passed them all. He sent me for a emergency MRI of my brain and sinuses, in the MRI machine I felt that feeling and told myself whatever it is it will be picked up. He called me the next day and told me it was normal,(my report showed a 8mm tornwaldt cyst) he prescribed me some vertigo meds which honestly don’t do much, and cleared me from ENT side, he wanted me to see a neuro and a ophthalmologist. I went to neuro who did a bunch of tests also looked at my MRI he said i was fine. Went to ophthalmologist and did all the tests and i was perfectly fine besides I had an astigmatism and he prescribed me glasses. Now I am still dealing with daily dizziness, visual problems, tinnitus, sometimes migraine like headache over my left eye, and sometimes neck pain. I didnt know what to do, I went to my GP and she said she thought it was a problem with my cervical neck. I started doing my own research and stumbled upon PPPD. I felt like this made so much sense, I started doing Dr. Yo VRT videos and they seemed to help, I thought this must be the issue, i have had anxiety all my life, but couldnt believe this was happening to me. I did notice how bust streets and super markets brought on my dizziness. I was starting to have better days and stopped letting it ruin my life, i just kept living.

Fast forward February of 2025, I was starting to get this neck pain on my left side again which sometimes would bring on these left eye headaches, sometimes it would be throbbing. I went to the gym and went to go do a lat pull down and I instantly felt a sharp pain from the base of my neck down my left shoulder. It hurt so much I went home. Went to my GP and she ordered me a MRI of my cervical spine and left shoulder. Had this daily pain again and the dizziness was coming back here and there. At this point, my symptoms kept changing and i felt like I was losing my mind, somedays pain in my eye, the next ear, the next in my neck etc. I also got my last two wisdom teeth extracted which sucked because they were imbedded almost into my jaw, i thought maybe this was the cause of the all tinnitus. I went home to America for Easter break and found Upper cervical care on Instagram, and found Arete chiro in Portsmouth NH. I went and what they were saying spoke to me. They said all the problems come from the imbalance of c1 and showed my my imagine of how crooked my body is. They did a cone beam CT that showed osteoarthritis of TMJ, hypolordosis of cerivcal spine, right nasal deviation, and the last was elongated styloid processes.

At this point it meant nothing to me, I only had 2 visits for correction and it did seem to help, but I had to return back to school. When I got back i had my MRIs done. My left shoulder showed some damage to rotator cuff and inflammation of the supraspinatus. My cervical neck showed hypo lordosis, and at c1-c2 and c2-c3 posterior osteophyte brining mild pressure to spinal sac, which my doctor said is nothing concerning.

I started to put my results into Chatgpt and this is the first time I hear of Eagles. My left styloid is 40mm and right is 27mm. Almost always my symptoms are always on the left, so i was like is this the smoking gun? As I researched eagles I was like omg this sounds like me alot, but not always. I went to another ENT head and neck surgeon who dismissed the idea saying its a complex surgery and I should try Lyrica for 10 days.

I am doing PT for my shoulder and he says all my symptoms are coming from neck and shoulder muscle strain and trigger points, referring pain and causing dizziness. Last week I had the scariest episode of dizziness, it literally felt like I was having a stroke and it was like September all over again but maybe worse. At this point I have no idea, is it PPPD? Is it muscle and poor posture related? is it upper cervical like my chiro said? Or is it Eagles my new fixation as the cause? There is a specialist in Athens that I can go see but this costs me a lot of money and time. I saw people mention Dr. Annino in Boston but I don’t have insurance in America and not sure the cost and availability to see him either. I am lost and frustrated. Its why I came here to try and piece together something. Should i keep chasing this rabbit hole, or is it muscle/neck related with PPPD and I am worried for no reason.

Anyways i hope my story is well written, its so hard to not forget details. My main symptoms id say is left neck pain, dizziness, ear fullness and ringing, sometimes eye or ear pain, rarely throat pain but now i hyperfocus on these. and like my brain doesn’t get enough blood or something, I cant really explain it anymore.

I’m sorry that you’re feeling so bad, it must be really difficult trying to study when you’re feeling like this.
If you’ve not read it already, hopefully the common symptoms might help you, here’s a link:
ES Information: Common Symptoms And Possible Explanations For Them - Welcome / Newbies Guide to Eagle Syndrome - Living with Eagle
The ear fullness and dizziness can be caused by IJV compression; other symptoms of this can be head and ear pressure, off-balance feeling, pulsatile tinnitus, weird sucking or pulling sensations inside you head, I don’t know if any of those ring a bell? Shoulder pain can also be caused by an irritated spinal accessory nerve, & vagus nerve irritation can cause increased anxiety too.
It is hard to differentiate ES symptoms from other neck symptoms, so we can’t say for sure if the dizziness is related to it (I think the vestibulocochlear nerve can also sometimes be irritated by the styloids which can cause dizziness as well as vascular ES), unfortunately sometimes the only way is to have surgery & see what improves! But if you’re able to get a CT with contrast then that might show if there is IJV compression, or ICA compression as that can also cause dizziness, fainting and eye pain… I think it’s certainly worth looking into if you are able to get one, & take it from there depending on what it shows? Some of the US surgeons do video consults , as does Dr Agayhev in Turkey…
But it’s also worth working on your posture & looking at some exercises for improving your neck in the mean time- there have been discussions here about how losing the natural curve in your neck can make ES symptoms worse. There are links to exercises in this discussion which might help:
List of my favourite resources on YouTube to learn anatomy - General - Living with Eagle
One of our members recently mentioned about improving symptoms with improving the neck curve but I can’t remember who or find the discussion, sorry!

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jules thank you for taking the time to respond

I am going to my doctor tomorrow to get a CT scan done, is there a specific one thats the best? I am sure she will know. I have alot of the symptoms but alot are mixed, like lights bother me alot which is more like PPPD, but all i know is its getting worse, some days its unbearable and I feel like my body is telling me something, and i refuse to be brushed aside as stress or try more drugs to mask the symptoms, but at the same time i question my own sanity being down this rabbit hole now.

Thank you for the doctor in Turkey, has anyone had success with him? I will go to Athens first if my CT shows something

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@Jimmymich90 -

I fear my response is too late to help you w/ your doctor’s appt., however, a dynamic CTA & CTV would be the best scans to get to look for vascular compression. Dynamic means the scans would be done w/ your head in several different positions i.e. looking up/down, left/right & perhaps on the diagonals. Normally CT scans are only done w/ the head in a neutral position i.e. lying supine looking at the ceiling.

Your symptoms are consistent w/ ES but as @Jules said, there can be other things that cause the same sort of symptoms.

You mentioned feeling like you were having a stroke at one point & the feeling of not getting enough blood to your brain. Those are somewhat common symptoms of internal carotid artery compression which can be caused by an elongated styloid or a calcified stylohyoid ligament. We’ve even recently seen a case where one of the hyoid bone’s greater horns is poking the carotid bifurcation which could also potentially cause TIAs or more serious stroke-like symptoms.

Please let us know what test(s) you ended up having & what your results are.

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so i have a cta of my head and neck on thursday, Dr. Agyayev office told me for now this is all they need, they also asked me to send them my cone beam ct, i finally downloaded the cd and played around with the imaging on my computer tonight. What is weird is both styloids look long but the report had my left at 4cm and the right at 2.7cm. The left does look much thicker, and i noticed from the back view my c1 looks crooked like my chiro said. Dr. Agyahev also did say that sometimes its not the styloid thats always the problem sometimes its the c1.



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@Jimmymich90 - I didn’t know CBCT scans could be made into 3D images like those you posted. Those are really good images. Great job!

I agree that your C1 looks slightly lower on the right than the left. I don’t know if it’s enough to cause a problem, but I suppose any deviation from neutral is enough to create some type of symptoms.

Curious that the lower half of your left & right styloids appear flat. I don’t know if that’s a function of the CBCT scan image or if they are actually flat (left more so than right) which is a physical feature of a styloid I haven’t seen before but which could certainly make them symptomatic. Both styloids look thick at the top to me. Also, your styloids don’t look that different in length from each other so I’m not sure whether the measurements are accurate.

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Yeah it came with a software where I can play around with it, maybe I don’t know how to use all the features that’s why it’s not coming out right, the software has so many features

At least you put up some great pictures to start with. I wouldn’t have a clue how to get images like you did from a CBCT!

I agree that the styloids do look pretty thick & a similar length; we have heard often from members after surgery whose styloids were much longer than they were measured from the CTs, it’s not always accurate as the CT is done in slices.

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Hi Jules, thanks for answering

I spoke with Dr. Agayev today and he said my styloid distance from c1 is very narrow and he is sure my internal jugular veins are being compressed and that’s why I have all these symptoms, he said let’s wait till I do my CTA tomorrow and re talk, but then I saw a post about a lady from Canada val her husband had the surgery from him and terrible problems after, I was wondering his age, at first I was ready to do th surgery but I’m so scared being 35 to do a surgery and it make my life worse. :frowning:

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@Jimmymich90 - Some of our members have more than one health challenge going on so getting ES taken care of is just “one layer of the onion”. It can take some time to discover the causes of the other health challenges & to “peel them back” one by one. We have several members who’ve had surgery done by Dr. Aghayev & after several months of recovery, most of them are doing very well.

There are risks w/ any surgery. It’s up to you to decide whether your symptoms are affecting your life negatively enough to take the risk of having surgery in hopes it will give you better quality of life. All of us on this forum who’ve had surgery or multiple surgeries for ES have had to make that decision. It’s a tough one! Dr. Aghayev seems to be a very accomplished surgeon & having your styloids shortened & IJV(s) decompressed could be life changing for you in a very positive way.

You can also wait until you see the doctor in Athens to find out his opinion & what his approach to surgery would be before making a decision about surgery.

In case you haven’t read this discussion about surgery, here’s the link. I think you’ll find it helpful:

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If you read @Val7426 's posts, she’s been honest about her husband’s health challenges & that he’s had symptoms for a long time, so his surgery was never going to be a complete cure. I understand your concerns about the risks of surgery, as @Isaiah_40_31 says you can only weigh up the risks versus the benefits to your quality of life, and also the risks of leaving the styloids in if they’re causing symptoms (one of the doctors very experienced with vascular ES, I think it was Dr Hepworth, said that the body can compensate and cope-with collateral veins and adjusting to the high intracranial pressure- for a while until it gets to a point where it can’t any more). The younger you are, the better you heal as well.

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I thought I posted this morning, but turns out I forgot to press the button…

So true… JC has been chronically ill for 5+ years, some related to the VES, and other undiagnosed illnesses, plus he was in a minor car accident in the summer of 2024 and we’ve come to realize how much of a role that’s played in his recent journey. We also learned he had an undiagnosed blood condition and now we’re getting that under control. So as @Isaiah_40_31 and @Jules says, this surgery was one layer of a huge onion.

Going abroad for surgery is daunting, even having it locally. JC still has some lingering nerve pain and ongoing first bite syndrome, but overall, this isn’t a poor reflection on Dr. Kamran. He is a skilled surgeon and if JC ever needed a revision or other compression surgery, we wouldn’t hesitate to go back to Istanbul. I hope that in itself is helpful, and a testament of our trust in his abilities.

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So an update on how I am doing, now for the past two weeks almost constant dizziness if I lay in bed it’s worse so I can’t rest and I’m starting to have panic attacks, two times in the past week I have to leave class because I start to get so dizzy I feel like I’ll collapse so now all my friends are worried for me because they have never seen me miss a class. I also have this weird head pressure. I had my cta head and neck done yesterday and sent the results to Dr. Agyahev and I’m waiting to see what he says. I also have left ear fullness almost always and like this weird shooting pain up my left neck into my eye but it’s not constant like a migraine or something. I also have these weird chocking sensation. So I am also now panicking constantly because of how I feel. I’m so fatigued and that’s why I feel like if the doctor says I need the surgery I will do it without waiting because now I can’t live with these symptoms, even vertigo medicine and Xanax don’t help, Xanax just makes me numb to anxiety but I still feel all the symptoms. Is it possible I’m missing something? Maybe it’s vestibular migraines or heart problem? I just hate chasing down rabbit holes but when he said on my cbct he can see narrowing and he’s sure I have IJV compression I don’t know what else to think.

The shooting pains could well be nerve pain, possibly glossopharyngeal neuralgia or trigeminal neuralgia, so it might be worth trying a nerve pain medication like Gabapentin, Lyrica, Amitriptyline of Amitriptyline. It could otherwise be vascular ES; sometimes if the ICA is irritated it can cause pain up it’s length & then up to the eye. The choking sensation is very common with ES; that & the feeling of a lump in your throat are probably the best known symptoms. Vagus nerve irritation is very common too with ES, that’s a bit of a chicken & egg, obviously scary symptoms can cause anxiety, but anxiety could a symptom! Vertigo/ off balance feelings are common with IJV compression, occasionally the vestibulocochlear nerve can be affected too. Some members have found vestibular rehab exercises help, I think you can see those online, or have a search in the past discussions…Hang in there, hopefully you’ll hear from Dr Agyahev soon :hugs:

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I’m really sorry your symptoms have gotten so bad. Anxiety alone can cause the symptoms to ramp up like they are & as @Jules said, it can be a Which came first, the chicken or egg? situation i.e. are the symptoms worsening causing greater anxiety or is the anxiety causing worsening of symptoms? The vagus nerve also controls anxiety levels so if it’s irritated, it can be contributing to your high anxiety level. Heart symptoms are also usually related to vagus nerve irritation which I think Jules has previously mentioned.

Some members have found that taking long, slow deep inhalations followed by long, slow exhalations for several minutes can calm anxiety & even sometimes reduce symptoms. When you feel yourself starting to panic, spend 2-5 min. focusing on your breathing & slow it down, deepen it & relax as that may go far toward helping you be more calm.

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Have you guys ever experienced a disappearance of symptoms? Today I woke up super dizzy but randomly it kind of went away after I was up and about so I was happy and did some house cleaning, when the symptoms are gone I feel like I’m crazy and surgery is the craziest idea I have, but of course a few hours later after laying down( pretty sure when my neck is bent it brings back the symptoms) I went for a walk with my friend and my dizziness was back, and started to feel anxious about it.

Also one thing since September is lights like in church for example get me dizzy, it’s why sometimes I’m not convinced of eagles/ijv compression but rather something neural circuit but the vrt exercises don’t seem to help me as much as they did, I’m truly exhausted chasing my own symptoms tails, and I keep reading about surgeries and post op problems that idk what to do, I haven’t read anyone saying they had a smooth recovery I might of missed any positive ones, Dr kamran website and Facebook say he has patients who had no complications and had great recovery.

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It is quite common for ES symptoms to come & go as you experienced today. Sometimes the symptoms go away for longer than you noticed but sometimes it’s only for a few minutes. Feeling a bit crazy about how one is being affected by symptoms & whether or not the symptoms are real or just in one’s head (which they are literally!) is also part of the struggle many of us w/ ES have had.

This is very common too! Most people who have vascular ES have found there are certain head/neck positions that cause symptoms to get worse quickly. It’s most likely when your neck is bent, like when you do house cleaning, whatever is compressing your IJV is compressing it more than normal & that’s why your symptoms get worse or come back when gone.

This is a less common symptom of vascular compression but we have had other members mention it.
Here’s a post @Bowser made regarding “photophobia”. He had his ES surgery done by Dr. Kamran.

At some point, you need to decide whether you can live with your symptoms or whether you need to face surgery to try to get rid of them. Healing does take time & is uncomfy for the first couple of weeks, but for me & others on this forum, it was soooo worth taking the risk that we went ahead with surgery. For many of us, our surgeries gave us our lives back. It is a decision only you can make, & if you do opt for surgery, face it with hope not fear.

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the problem is all the stories im reading people are mentioning problems later, maybe I havent looked in the right places, but I have yet to read someone who did the surgery and felt great after forever, I really dont want to get a surgery that could potentially make me worse in a year or 2, but now my dizziness symptoms are daily and really cant live like this either. Every doctor I speak too has their own opinion on what to do etc. I am still waiting to here back from Dr. Kamran about my CTA, so until then I am trying to stay calm, but this past month the symptoms have gotten out of control and I think its getting more scary, and I feel like surgery is my only way out.

It is a difficult decision to make, I think you have to bear in mind that many people have more than one medical issue going on, so ES surgery is one of perhaps several surgeries needed. Not many people end up worse off that I can think of…and also worth considering that certainly we notice with our members sometimes if they’ve had a successful surgery they move on with their lives & we don’t hear from them again. The members who still have things going on stay with us for extra support, so that can perhaps skew the discussions. (Also I feel that I don’t like to say too much at times about how successful my surgery has been & the difference it’s made to my life when others are going through a really hard time after surgery) That’s if you’re concerned about stories here, or have you been looking at other ES groups? We have had members say that they’ve left other groups because they are very negative & scary…
But if ES is causing these issues, leaving it won’t help…
Try not to panic and see what Dr Kamran says… :hugs:

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