No its ok what he/she can do with my personal info
Obviously @TML has researched this; I didn’t know that there were different types of hyoid carotid relationships, & I can see how yours look like the type VIII…I’m not knowledgeable enough to pick out structures on an axial view scan… But certainly you can see the hyoid greater cornu are very close to the carotid arteries & with head positioning could possibly be touching & irritating them? In the 5th images down, the black& white image it does look like the hyoid could be touching right at the fork of the arteries, in the area of the carotid sinus, so that could cause symptoms 
Also in a couple of the images , in the image below the one I just mentioned, there’s the styloid looks like across the IJV & ECA possibly?
I’m sorry, I wish I could be more helpful, but we’re not doctors on here, all we can do is suggest that it’s worth looking into & seeking an experienced doctor’s opinion.
Re the measuring, it’s difficult to measure accurately because CTs are in slices, it’s fair enough to get an idea, but don’t worry too much about it…
Also with the C1 shave, it’s difficult to tell, we’ve had discussions about this, been given members’ experiences & heard their doctors’ opinions, and there’s no definite consensus, it might make instability worse for some, but not others…
right styloid?And on which side greater horn looks closer to carotid artery
But i feel that i’m suffering from Clicking larynx syndrome clicking hyoid bone syndrome
1 Like
I think the clicking of the hyoid may be completely separate from your dizziness symptoms. I think they are both happening but the clicking is not causing the dizziness. I think the right styloid is causing the dizziness, and the hyoid is causing the clicking. But we don’t know for sure.
1 Like
If Right side styloidectomy give me benefit in my dizziness then that will be a really great because from last 3 years my life is hell
1 Like
I think it definitely could. I think it could alleviate the ECA completely and at least some of your IJV compression. I think those could be the dizziness culprits.
2 Likes
@churchyardyew Also had this same problem of Clicking larynx but i’m unable to talk to her
hey, sorry I see that this is a thread with your imaging and symptoms. This site is hard to navigate on the phone. I scrolled through your imaging. I think you probably do have clicking hyoid syndrome. You may also have CCI or a separate secondary issue going on, but I think you’re hyoid is bilaterally encountering the carotid sheath for sure. You should call Dr. Dewan‘s office at LSU. Say you’re a prospective patient, you would be coming internationally. You might want to ask for the office manager’s direct phone number and fax number and then you could get some stuff sent to her directly. I believe her name is Debra. Communication with the office is really challenging but they’re all great. It’s just the way that systems are set up or something.
2 Likes
My doctor told me to get it varified get the local injection of kenacort mix with bupivacain…this help in diagnosing as well as relieving Hyoid bone syndrome but i’m diabetic also n kenacort is steroid
Not sure how a steroid is going to help with dizziness caused by compression. Would work for pain, but I can’t see how you’d see any difference in neurological symptoms like dizziness and brain fog. The steroid might help with the clicking or any pain associated with it, but if your dizziness is coming from the right styloid and it’s compression to the ECA and IJV, I can’t see a steroid helping to rule that in or out, or help with your dizziness. Hope it can help rule in or out any of the clicking stuff though.
2 Likes
Is prp,prolotherapy help dr hauser from caring medical recommend many patients
Prolotherapy can help with cervical instability. If your symptoms are being caused by a styloid a styloidectomy may be your option. If you have cervical instability than prolotherapy may be your option. If both are contributing to your symptoms than both can be an option. Your imaging looks like your right styloid could be causing (at least some of) your difficulties, and if it is, then I think a styloidectomy is your answer. Since ES is so rare and most doctors know nothing about it, they try and run you through the gauntlet of tests that may not be necessary. If the clicking is annoying you than it might help with that, but I can’t see it helping with the dizziness and whatnot if that’s being cause by bone compression. Worth a shot if you think it could help. Not sure the diabetes work around though.
2 Likes
@madhavshrma - Stay away from prolotherapy as a treatment for your current symptoms. It costs a lot of money (plus the cost to travel to the US) & doesn’t help reduce the type of symptoms you have. We’ve had a number of members who’ve been diagnosed w/ ES by Dr. Hauser after paying him thousands of dollars for prolotherapy that didn’t help. It sounds good in theory but doesn’t usually help with ES symptoms in practice.
I’m sorry I missed this post after you put your images up. I’ll look at them tonight or tomorrow & will annotate them & comment on what I see. It will probably be very similar information that @TML, @Jules, & @churchyardyew has given you.
3 Likes
@madhavshrma Agree with @Isaiah_40_31 about prolo with Hauser. He hurts people, stay away from him. Now, regeneratives can work if someone’s root cause is instability, like let’s say someone’s hyoid is a normal size and shape, but the soft tissues in their upper neck are being distorted due to instability and THAT’s causing your hyoid to encounter other structures… I’ve had two PICL procedures at Centeno-Schultz to treat CCI and they worked really well for instability. But if the shape and size of your hyoid is the root problem, as it is clearly for you, regeneratives cannot fix that. And definitely never get injections from Hauser! If you do have CCI (can’t assess from your imaging provided, it requires dynamic imaging), then you will have to cross that bridge later. I imagine that your hyoid issue is driving any other issues you are having (ES, CCI) and TBH the carotid compression is the most urgent issue you could have unless there was a massive injury to your upper cervical which I don’t see evidence of. Hope helpful, sorry to keep it short.
2 Likes
In the two images above, look at the angle of your left styloid compared to your right one. The left one goes in behind your mandible (lower jaw bone) whereas your right one runs parallel to your lower jaw bone. The angles the styloids grow can affect the symptoms you have & the amount of vascular compression. The left styloid is also very thick. I realize the images are not at identical angles, but I’d still guess your left styloid is growing more inward than your right one. I can’t say what symptoms either one would cause.
In image #3, you can see your left greater hyoid horn poking into the carotid bifurcation or the carotid sinus which is definitely a problem. In image #4 the left greater horn appears to be behind your ECA but could still be irritating or compressing it when you move your head & neck.
In image 5, it appears your left styloid may be compression your internal carotid artery, but again, it’s hard to tell due to the angle of the structures in the image & because the whole left styloid isn’t visible.
In image 6, I pointed out two outgrowths on your C1 vertebra. The one on the right is fairly significant & could be contributing to IJV compression on that side. The one on the left is probably insignificant.
In image #7, I noted that you have military neck. Your lordotic cervical spine curve is nearly gone. This cervical spine change brings the styloids & potentially hyoid bone closer to nerves & vascular tissues in the neck. You can do some simple gentle exercises to gradually restore the cervical curve. This discussion has some good information about that: List of my favourite resources on YouTube to learn anatomy
Based on your complaints about clicking, popping, etc. when you swallow, I think you should get your hyoid bone checked & potentially have the greater horn on the left resected. The right might need it to, but your imaging didn’t show much on that side. Since the left is what’s causing you problems, start there. You will likely need to consider having your styloids shortened at some point, but the hyoid bone surgery may help significantly reduce your worst symptoms for now.
1 Like
According to u which surgery helpful in my dizziness left greater horn recession and left styloidectomy?
Pls mention id of people from india who had styloidectomy or hyoid bone surgery
@madhavshrma , we’re not doctors on here, so we really can’t recommend one surgery to prioritise over another, all we can do is point out possible issues that you would need to consult with an experienced doctor about; I thinks even doctors wouldn’t be able to say for sure which of your symptoms are being caused by which structures in your neck. IJV compression can cause dizziness, and so can carotid sheath irritation , & you potentially have both, but it’s not possible to decide which one it is for sure, it could be both contributing?
Re injections , a steroid and painkilling injection into either the styloid or the hyoid region can help, and some doctors do use it to diagnose these, but it’s not a definite that it helps, we’ve had lots of members who haven’t been helped, so you wouldn’t be able to rule either condition in or out with it for sure…
As for doctors in India, the doctors on our list are the only ones that we know of who have treated ES, I can’t think of any members from India who have had hyoid surgery. @Bowser is from India but travelled to Turkey for treatment , @samir posted a while ago this discussion, but not sure whether ES was managed with medication or with surgery:
Hello from INDIA, Can only antidepressant medication cure this ES issue? - General - Living with Eagle
You can click on people’s avatars & send them a private message if you want…
1 Like
Dr Kamran seen my CTA NECK scan today…and he said there is no compression by styloid but definitely i feel dizzy all the time and its not psychological…Maybe i have Hyoid bone syndrome that causing dizziness…and dr seen my scan in 3d view but i don’t think so he measured blood vessels diameter.And dynamic mri is far more better i think than a cta