I’m diagnosed with elongated styloid process of 42mm and 30mm on left…i’m feeling dizzy,brain fog,vertigo and lack of concentration.Is this symtom of eagle or i have any other health issue like C1,C2 INSTABILITY
All these can be symptoms of vascular ES yes, I’ll post a link to the list of common symptoms:
ES Information: Common Symptoms And Possible Explanations For Them - Welcome / Newbies Guide to Eagle Syndrome - Living with Eagle
Probably more likely to be internal jugular vein compression (IJV), but dizziness can happen with carotid artery irritation too, and feeling faint can happen with that.
A CT scan with contrast would show IJV compression, are you able to get that done?
I don’t know too much about CCI, but one of our members has posted info about a quick way to see if you might have it:
Can anybody help me to confirm if my CT shows elongated styloids? - Welcome / New User Help - Living with Eagle
An upright MRI with head flexion & rotation can show CCI I believe, or a DMX (digital motion x-ray) , again I’d don’t know if you’re able to get either of those done?
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I forgot to say that if you do have IJV compression, then sleeping propped up in bed a bit can help with the build up of head pressure, some members have taken blood thinners which can help with symptoms, but it would be best for you to get diagnosed first.
@Ruslan posted about a supplement he’s finding helpful:
Eagle syndrome with IJV Compression.New member from Russia - General / Eagle Syndrome Stories - Living with Eagle
And @mekanX posted this:
Brain fog and creatine - Symptoms and Treatments - Living with Eagle
Check with your doctor though before taking supplements, especially if you’re on any medication.
This discussion might be helpful:
CranioCervical Instability (CCI) and head tilting - General - Living with Eagle
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Thank u for your reply my constrast ct of neck angiography venogram is normal according to doctor but styloid are abnormally enlarged 42 and 30mm.
Like dizziness is not all the time more in night…and in dark place
@madhavshrma Have you had any vestibular testing? An increase in dizziness when it’s dark is a good sign that your vestibular functioning may be off and could improve with vestibular rehab.
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Thank u for replying,I don’t think so..because i don’t have any kind of ear problem
That possibly doesn’t sound as if it’s vascular ES then, it would be most of the time for IJV compression. The vestibulocochlear nerve I believe can be affected by ES so it could be it’s causing you dizziness, as @Chrickychricky suggests it might be a vestibular malfunction! If you search for vestibular rehab exercises online, there are some simple ways to improve it, might be worth a try…
Looking at your scans- and this is not a medical professional opinion, I could be wrong!- quite a few of them aren’t to the skull base so it’s not possible to see the styloids very well… & I can label them for you, so will do my best to point out a few possible things to ask your doctor about:
Your hyoid bone process in some of the images looks very close to the carotid artery bulb, so possibly with head movements it could irritate the blood vessels, which can cause heart arrythmias or possibly feeling faint or dizzy.
The styloid looks visible in the bottom left image, but not in the image above it…It looks like you have an elongated styloid process one side, but the other side has a section of calcified stylo-hyoid ligament.
I can only see one image which shows your veins; to me it looks like the right side is possibly flattened a bit by the C1 process, but that could just be the view of the CT, I can’t see much of the vein on the left side, so it could be a non-dominant vein and naturally smaller.
Your hyoid doesn’t look fused but that could be your age…
It doesn’t look like you have much of the normal curve to your neck, which is called military neck- we’ve had lots of discussions about that on here, it can sometimes make ES symptoms worse & there are exercises which you can do to help , here’s a link to a long post @vdm did:
List of my favourite resources on YouTube to learn anatomy - General - Living with Eagle