Eagle syndrome with IJV Compression.New member from Russia

Hello everyone! First, I apologize for my English—I’m using a translator to write this. I want to express my deepest gratitude to the creators of this forum for the opportunity to learn about others’ experiences with Eagle syndrome. Everyone who has walked this path is already a winner!

I’m 38 years old, and my symptoms began a year ago after snowboarding. I developed severe occipital headaches that nothing could relieve. I experienced terrible brain fog, anxiety, and this overwhelming feeling that my body was completely broken. At first, I tried to attribute the symptoms to anxiety disorder or tension headaches, but they were so persistent that I had to start investigating on my own.

An MRI of my head and neck revealed a midline herniated disc at C6-C7 compressing my spinal cord by more than half. Although doctors insisted this couldn’t be causing my headaches, I underwent microsurgery with a skilled neurosurgeon in Russia—the herniation was removed and a DCI implant was placed. Not only did the pain persist, but it gradually worsened. I chalked it up to postoperative recovery (now I understand that my C1 vertebra had shifted upward, compressing my jugular veins even more).

Then came unexplained heart pain—no tests could identify the cause. After severe nausea and a collapse, I was hospitalized, but they dismissed it as congenital hypoplasia of the left vertebral artery. Continuing my investigations, a neurologist detected via ultrasound that my jugular vein blood flow had increased to 120 cm/s. She suggested it was due to muscle spasms in the craniovertebral junction, and so began endless IV drips, antidepressants, and venotonics. Nothing provided real relief.

My concentration became so poor that I lost three jobs, and my family thought I was losing my mind. I tried every form of physical therapy and accumulated a massive collection of medications, but nothing offered meaningful improvement. Only anxiolytics and gabapentin provided slight relief. I eventually resigned myself to living with it—constant nighttime breathlessness, inability to sleep properly, bloodshot eyes in the morning, and crushing brain fog.

My body instinctively tried to lift my head away from my neck, and I often did this briefly with my hands. In April 2025, I ordered a rigid cervical collar with traction functionality, but it only made things worse. It felt like my brain had no resources left to process information, and any attempt to focus caused intense pain. I could only lie in the dark, battling severe nausea and dizziness.

After numerous tests, I compared my recent MRI results with last year’s and noticed narrowing of the internal jugular vein. I then underwent CT venography focusing on the craniovertebral junction—finally, I had my answer: compression of both internal jugular veins to 1.4-1.7 mm between the styloid processes and the C1 vertebra.

I flew to Moscow hoping major institutes could help, but they all said they had no protocols for such surgeries and would only intervene in life-threatening cases (thrombosis, cerebral edema, stroke). A large regional center offered to operate, but they had no prior experience, and I couldn’t trust them.

Now, I’ve found a surgeon in another country who specializes in these procedures, and I’m preparing for surgery this June.

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Hi Ruslan & welcome! I’m glad that through being so persistent you’ve found the answers to your symptoms… I can relate to some, I had nerve pain from ES which was bearable with medication, but after I had a prolapsed disc C5-C6 the vascular symptoms started. I put it down to a slight shift in the vertebrae although doing lots of cycling at the time (which I think caused the disc problem) I think all the exercise probably didn’t help either…
It sounds as if you could have vagus nerve involvement too with the breathlessness, anxiety etc, that seems to be quite common.
Here’s a link to the info about common symptoms & possible explanations in case you’ve not seen it:
ES Information: Common Symptoms And Possible Explanations For Them - Welcome / Newbies Guide to Eagle Syndrome - Living with Eagle
Will you have the styloids removed, or a C1 shave as well?
There’s lots of info about what to expect after surgery on here too:
ES Information- Treatment: Surgery - Welcome / Newbies Guide to Eagle Syndrome - Living with Eagle
Who is your doctor, where are you having surgery? And have you got a definite date? Wishing you all the best and hope it resolves your symptoms!

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Hi could you share the name of the surgeon who is willing to operate?

Hi Jules, thanks for the info—I’ll definitely look into it. The surgery is scheduled in a month, and after consulting with the doctor, I’ll be able to share his name and country. I really appreciate your support.

Lately, after even a short 100-meter run with my son, I’ve been getting severe, bursting headaches and struggling to sleep because it feels like my brain is suffocating, jolting me awake. An ultrasound showed that my collaterals have started working less effectively. I’m really looking forward to the operation, and I’d be grateful if you could suggest ways to manage these headaches and sleep issues. Do you think hemoexfusion might help?

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Hey! I can’t share that right now—I need the doctor’s approval first.

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I’ve never heard of anyone having a hemoexfusion, so can’t really answer that for sure. My first thought is that it may well not make a difference, as the headaches you’re getting are more likely to be from increased intracranial pressure because the veins are compressed can’t drain enough blood away. Some members have been prescribed blood thinner medication & that can sometimes help. Sleeping propped up really helped me, it did ease the pressure, so if you’ve not already tried that then see if it makes a difference. And maybe ease off on the exercise for now, as the more you’re blood is pumped round, the more the pressure can build up in your head… It’s hard when you want to do stuff with your kids…

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@Ruslan - Welcome to our forum! Your translation to English is perfect! I hope our messages translate accurately for you in your native language.

Things that may help relieve your symptoms a bit are sleeping with your head elevated at night & when resting as @Jules noted. Icing your neck for 15 min every couple of hours can also help although some people find heat more helpful. If they are available in your country, over the counter (or prescription) lidocaine patches that are self stick can help relieve nerve pain. Doctors in the US often prescribe a blood thinning medication such as Plavix or Brillinta to help the blood flow through the IJVs more easily.

Perhaps you know this info but I’ll share it in case you don’t: The reason for your head pressure is that the IJvs drain deoxygenated blood from your brain & the internal carotid arteries (ICAs) carry freshly oxygenated blood from heart to brain. When the IJVs are compressed, the blood from the ICAs enters the brain faster than the IJVs can let go of the deoxygenated blood which causes excess pressure in the brain called intracranial hypertension (Jules also me referred to this). When the problem is bad enough, the brain can leak cerebral spinal fluid (CSF) to help reduce the pressure on the brain. That can also contribute to the overall symptoms. A CSF leak can manifest as clear fluid that runs out of the nose &/or ears & has a metallic salty taste. These leaks can heal on their own once the the IJVs are opened up & the pressure in the brain reduces.

We’ve had several members who’ve gone to Turkïye for surgery w/ Dr. Kamran Aghayev. If that is who you are seeing, we have his name & contact info on our Doctor’s List. If you’re seeing someone else, we’d be happy to have his name & contact info once you have permission to share it.

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Thanks for your reply.

I think my body might be dealing with hypoxia because my red blood cell count is consistently high (though lab tests ruled out polycythemia). Right now, lying half-sitting helps a bit, but it gets way worse if I move around too much.

As for meds, venlafaxine (a microdose, 18 mg once a day), gabapentin (600–1200 mg), and anxiolytics do help. But weirdly, Venton’s meds just make things worse for me.

I can share the doctor’s name once I get his permission, but I checked the forum and saw he’s on your list of doctors.

I’m scared I might “not make it to the surgery”—this past year has been absolute hell, and I’m so exhausted from it all. Even going outside or talking to people feels impossible; my brain just shuts down from sensory overload.

Hoping for the best. Thanks, everyone.

I’m really scared to take strong anticoagulants since I only have a month left until the surgery. Microdoses of aspirin are probably the only thing I can handle right now. I’m also taking vitamin C + rutin—it feels like it helps a bit. Thanks for your reply, Jules.

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You would have to stop them a bit before surgery obviously, so fair enough, probably not worth the hassle of taking them for a few weeks… I’m sorry that you’re feeling so bad at the moment, hang in there, it’s not too long now.
Have you got to fly for your surgery? That’s not great with IJV compression & the pressure… Thinking of you …

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Weirdly enough, I actually tend to feel a bit better during flights—I think the lower cabin pressure might help reduce my intracranial pressure. I’ve also noticed walking helps now; it’s like the blood shifts from my head to my muscles.

I’m also thinking about stopping venlafaxine. I’m on a low dose now, but I get this feeling it might be messing with my vascular tone too. So tired of playing medication roulette :upside_down_face:

Lately, though, my symptoms have gotten worse, and I’m worried it could be sinus thrombosis. Just to be safe, I’m getting an MRI in the next few days to rule that out.

Thanks for your support—it really means a lot.

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As horrible as you feel, @Rusian, IJV compression is less dangerous than ICA compression which poses a stroke risk. The symptoms are equally miserable w/ both types of compression with some differences & similarities.

It’s very important for you to know which medications you need to stop ahead of surgery & how far ahead to stop them. Please get in touch with your surgeon & get a clear answer about that rather than drawing your own conclusions. It’s fine for you to immediately stop anything you feel is currently detrimental to you.

I’m glad flying isn’t an issue for you. If you’re planning to fly home fairly soon after surgery, we recommend arranging with your airline to have a wheelchair ready to take you to your gate. This may sound like overkill, but in a large airport, standing in long security lines then needing to walk long distance to your gate will be exhausting & can increase your pain after surgery. Being in a wheelchair w/ an airport employee pushing you will give you priority in the security line, for elevators if you need to change floors in the airport & will overall expedite your trip to your departure gate. We also suggest that you get the best seat you can afford on the plane i.e. first or business class, if possible, so you have more leg room & ability to recline your seat. You can ask flight attendants for a bag of ice on your trip home so you can ice your neck during the flight. It’s also a good idea to carry one or more washcloths or small towels with you to protect your neck from direct contact w/ the ice.

Even though your symptoms have recently gotten worse, they may settle down again a bit over the next weeks. ES symptoms seem to worsen then decrease without rhyme or reason. I hope yours do decrease so your travel is less stressful for you.

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Hi Ruslan, I am originally from Kazakhstan but have lived in Canada since 2014. I wish you all the best! God bless the doctors🙏 Where did you find the doctor?

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@Ruslan Even though you take a low dose of venlafaxine make sure and taper off rather than cold turkey to prevent unwanted discontinuation symptoms on top of everything else you are going through.

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Thank you very much for your support. It’s important to me right now. I also notice that my symptoms are weakening (though they don’t disappear completely when I lie at a 45-degree angle) and worsen when I stand up suddenly or walk. Although sometimes walking actually helps. I associate this with gravity and the pressure of the skull on C1. Thankfully, I don’t have high blood pressure—it has remained low throughout the illness, and my coagulogram is within normal limits) Thanks for the advice on navigating the airport and the plane—I’ll be sure to follow it.

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And thank you for your support as well—it’s nice to see someone from the former CIS. Have you already had the surgery? How a you feel in present time?

hank you for your response. I’m tapering off venlafaxine very gradually since this isn’t my first time taking antidepressants. As the dosage decreases, the pain increases.

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@Rusian - I’m sorry your pain is increasing during your tapering process. This makes sense though since anti-depressants are also used for nerve pain reduction. Nerve pain meds are in the classes of anti-depressants or anti-seizure meds.

You can try icing or applying heat to your neck to help ease the pain. One may work better than the other for you though most people prefer ice.

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I am doing ok and waiting for my date of surgery. Are you in Canada?

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Hi ! Strangely enough, drinking ice-cold water helps me the most—it feels like there isn’t enough cooling from the back, but the cold hitting the throat relieves the sharp episode very well.
Tell me, are heart pains a common symptom of Eagle syndrome? I was tormented by them for a while, I had my heart checked and everything was fine, but now they’ve come back along with extrasystoles.
I understand it’s most likely stress, but the timing is really unfortunate—right before the surgery. I’ll wait about five days and then do a Holter monitor.

And I actually started feeling better in terms of the headaches. I massaged my trapezius muscles with an ointment containing bee venom, adjusted the angle to 45 degrees, and it became tolerable.
But now it’s the heart that’s bothering me.

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