# ES and Csf leak **URL:** \ **Category:** New User Help\ **Created:** [August 12, 2020, 10:28pm UTC](https://forum.livingwitheagle.org/t/es-and-csf-leak/7689 "2020-08-12T22:28:14Z")\ **Posts on this page:** 1\ **Showing post:** 3
**Author:** ![Jules](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/jules/32/404_2.png) [@Jules](https://forum.livingwitheagle.org/u/Jules)\ **Post date:** [August 13, 2020, 7:18am UTC](https://forum.livingwitheagle.org/t/es-and-csf-leak/7689/3 "2020-08-13T07:18:31Z")
Hi! Trouble swallowing is a classic ES symptom, the pain in your neck too. There are many cranial nerves in the same area of the styloid processes, & if compressed they can cause pain. The accessory nerve for example can cause pain in the shoulder, & the Glossopharyngeal nerve can cause pain in the throat & ear. The Hypoglossal nerve if compressed can cause tongue dysfunction too. There’s more info in the Newbies Guide: > [@ES Information: Common Symptoms And Possible Explanations For Them](https://forum.livingwitheagle.org/t/es-information-common-symptoms-and-possible-explanations-for-them/1389): > > ES Information: Common Symptoms And Possible Explanations For Their Causes: Disclaimer: These answers to common questions were put together for new members to gain a head start in finding information about Eagle Syndrome; to give you confidence to discuss issues with your medical team and to encourage you to research issues further for yourselves. It was compiled by a volunteer Moderator, who does not claim to be a medical professional, merely an informed observer and patient! The sources used… Worth reading as there may be more that you don’t realise. Also Isaiah40:31 has found some info on Youtube, Two Minute Neuroscience videos which go through the Cranial nerves & their functions, which can be helpful to understand symptoms. To get diagnosed with ES, a CT is the best way to see the styloid processes, so if you can get your ENT to get this done for you that would help- make sure it’s evaluated for ES so that they specifically look for the length & angle of the styloid processes & also to see if there are any calcifications on your stylo-hyoid ligaments. If you suspect that you may have vascular ES where the blood vessels are compressed, then a CT with contrast is good. ES doesn’t directly cause CSF leaks, but quite a few members have had compressed jugular veins, which can then increase the pressure inside the skull (Intracranial Hypertension), which can sometimes cause a leak. We have several ongoing discussions about CSF leaks which you might find interesting, there’s info about testing which can be done for CSF leaks, like the nuclear pledglet test, that might be something you could ask for. Here’s a link to to one of the discussions: > [@The somewhat bizarre story of my cerebral angiography](https://forum.livingwitheagle.org/t/the-somewhat-bizarre-story-of-my-cerebral-angiography/7603/35): > > Ah ok. I know that Dr Hepworth in the US says that anything above 50cm/min of flow is pathalogical. Do you know what your jugular diameters go down to at the area of compression? Thanks for this info. They wanted to do nuclear pledglet test but it’s only 4 hours so as I leak intermittently would be hard to see. They say they can see a tracer in the bladder if a cranial leak is present Hope this helps! --- _[View the full topic](https://forum.livingwitheagle.org/t/es-and-csf-leak/7689)._