@BikerG - Your account should have updated as soon as you posted, but it failed to do so. I’ve upped your account so you can now post images. I look forward to seeing your MRI but am not good at knowing what I’m looking at unless the images are 3D. I’m glad your ENT is at least familiar w/ ES as so many still are not.
Your symptoms do sound suspiciously like they could be related to an elongated styloid process causing internal jugular vein compression. This diagnosis is becoming more common than the non-vascular version of ES on our forum.
The vagus nerve is one of the nerves most frequently irritated by elongated styloids & in cases where there is IJV compression between the styloid & C1 vertebra, the vagus nerve also gets trapped at that location which makes it “mad” which causes more vagal symptoms.
TOTALLY AGREE!!
Here’s an excellent post that our other moderator @Jules wrote which will help you ID if your symptoms are possibly ES related: ES Information: Common Symptoms And Possible Explanations For Them