Hello! Toadall Newb questions

Hi there,

I’m new here, so I have a few questions because I have never before considered that I could have ES or internal jugular vein compression. I tried reading around a bit for answers but I couldn’t find some info., so thought I might ask? Unfortunately it’s looking like more of a novel than I meant for it to be… sorry I’m kinda verbose :joy_cat:

The internet has some standard symptoms listed, but I thought there might be some less standard symptoms that people experience? For myself, I seem to have many standard symptoms, but some that aren’t so much, so I’m curious if other people have experienced them.

I have what one neurologist called hyperreflexia, and another said a functional neurological disorder (I think translating to all in my head?!?) but it’s more like convulsive seizures where I don’t loose consciousness. It affects my breathing, my tongue and my hands and feet don’t work right, so it’s challenging to walk, talk, or pick things up when it occurs. It’s transient and seems to be triggered by anything that stresses my body out, like getting sick, exposure to gluten, perfume, or heat. Traction also does it, I tried one of those over the door traction devices and I was triggered for days. Sometimes I need a cane to walk because of it.

Another strange symptom is for the last year or so I’ve been having increasing difficulty swallowing that is mostly positional, when I’m laying down at night. A few weeks ago my neck was hurting so I thought maybe a soft neck collar would help, but not long after I took it off I had the worst sensation like something was stuck in my throat, it was really difficult to swallow and I actually had a rare panic attack from it. I went to the ER to have it checked out, of course they didn’t find anything. It took about 2 days to go back to just happening laying down.

Last thing… when I was in junior high, I had this thing happen that lasted until I was nearly 30. If I turned my head too fast, it felt like something in my neck would snap (there may have been a sound? It hasn’t happened in a long time so I don’t remember) and then it felt like this intense rushing, hot liquid was just pouring down my neck, like blood or something. It was SO weird. I would tell people about it, even doctors, and they would all just look at me blankly like I just landed in a spacecraft. So I just eventually stopped telling people unless they asked why I was clutching my neck like something was wrong. I’d just tell them it’s a weird thing but don’t worry, it’ll be fine.

I also have been diagnosed with ME/CFS, POTS, MCAS, and HSD, which if I understand correctly can be more commonly associated with ES? I thought for awhile that perhaps I had CCI or TC, which I still may, but I just don’t have the money to travel to a doctor, so right now that’s a dead end.

My close friend just had internal jugular vein decompression, so that is what sent me on this journey looking into this. She and I have similar health issues (we met in a support group!) so I thought maybe this would be an appropriate avenue to explore.

If you got this far then thankyou so much for your time! 🫶🏻

And please do chime in if any of these symptoms are familiar.

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Hi & welcome to the site!
Difficulty swallowing or feeling something stuck in your throat is one of the more common ES symptoms as you might have read…
Other members have mentioned seizure like symptoms, it’s not common, but here’s one discussion you might want to read:
Non-epileptic Seizures - General - Living with Eagle
I don’t know why, maybe it’s a overly sensitive vagus nerve, that can cause some weird symptoms & can be irritated by the styloid processes?
The sensation of something running down your neck sounds horrible! Nerves can cause strange sensations if they’re irritated, whether it was caused by that, the styloid or a calcified ligament catching a nerve maybe when you turned your head? I get a feeling of my ear being wet for example, & that has been mentioned on here too.
You mentioned you wondered about IJV compression- the symptoms of that are usually head and ear pressure, ear fullness/ feeling of being underwater, dizziness, off balance feeling, brain fog, fatigue… Do you have any of those symptoms?
If you haven’t read this, it might be helpful:
ES Information: Common Symptoms And Possible Explanations For Them - Welcome / Newbies Guide to Eagle Syndrome - Living with Eagle
I’ve not had a look recently, so I can’t remember if there are any symptoms like yours, but there’s quite a variety of symptoms members have noticed in the surgery results:
Survey Results - Welcome / Newbies Guide to Eagle Syndrome - Living with Eagle
With all the testing you’ve had done, have you ever had a CT done? It’s the best scan for showing the styloids. If you have had one done, if you can get the images you can post them on here & we can have a look & give you an amateur opinion as to whether it’s worth pursuing ES as a diagnosis or not. If you’ve not had one done, a CT with contrast would show any blood vessel compression if there is any.

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Welcome to our forum, @Tamasaurus! I’m sorry you have so many diagnoses but you’re right, some of them have seemed to be more common among ES patients. You mentioned HSD. Do you know how that is that different from Ehlers Danlos Syndrome (EDS)? We have other members who’ve also been diagnosed w/ ME/CFS, POTS MCAS & more often, hEDS. We think those w/ EDS may be more prone to ES because the brain detects instability in the neck due to ligament laxity so it calcifies the stylohyoid ligaments/elongates the styloids to try to help stabilize the cervical spine. Unfortunately the extra calcification in the neck causes its own problems.

Regarding you losing the ability to swallow when you’re in bed, does this happen only when you’re lying on your back or in any position? I’m asking because I’ve had the same sensation but only when lying on my back. I sleep w/ a down pillow which I can shape to fit snuggly under the back of my neck when I sleep on my back. That puts my neck in extension i.e. w/ my head tilted back slightly rather than in flexion (chin tucked toward chest) which keeps the “closed throat” sensation away.

I hope you’re able to get a CT scan w/ contrast soon & a proper diagnosis. We’re here for you all along your journey.

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Hi Jules,

Thank you so much for the reply and links! I will check them out as soon as I get a minute. Thanks for sharing your own sensations related to nerve pain, I hadn’t thought of it being caused by a nerve.
I actually thought it was fluid but that does make sense. I’ve had all kinds of weird nerve sensations over the years so that could be what it is.
Regarding your question about IJV compression— yes! Some symptoms I have are head pressure, feeling of being underwater, lightheadedness, off balance feeling, brain fog, fatigue, and ear ringing.

I did have a CT scan done, it was several years ago, unfortunately without contrast. I’ll attach the images, not sure how much that helps. Especially since I have no idea what I’m looking at?!?

The odd thing about the CT scan was that when they had me turn my head to the right for imaging I had one of my seizurelike attacks. I would not have thought that position was a trigger for me?
So possibly it is…

Thanks so much, I really appreciate this!

(attachments)




Hi Isaiah,

Thanks for the reply!
Hypermobility Spectrum Disorder, my understanding is that the more they know about hEDS, they find that it is a spectrum, and I am on the spectrum but not enough to have hEDS. That is how Dr. Laukaitis explained it to me, at least. I have hypermobility in some of my joints, but not enough for an hEDS diagnosis. My hypermobility is in my hips, shoulders, and elbows. Maybe neck or spine? Likely my kness used to be because they always hurt… Interesting that you mention the ligament laxity leading to calcification in the hEDS population, I seem to remember some mention of spurs on my ligaments in my knees in an xray. I also just looked up my CT scan from 2021 and it mentions dystrophic calcification that indents the ventral thecal sac at c6-c7… which kinda sounds related?

So I suppose that if I have calcification in some joints checking out my styloid might be warranted, given my symptoms.

The swallowing thing, it seems to be anytime I’m laying down and try to swallow, I dont lay on my back much so hard to say there. It seems like I’m opposite to you, I have to be in flexion to swallow, and I notice turning my head slightly as well, in either direction. I do have a special cervical pillow, I find it helps with the neck pain alot!

Slightly off topic, my friend who just had the C1 shave and possible syloidectomy (I’m unclear, havent talked to her yet since surgery) messaged me that her partner, who also has ME/CFS and other complaints, got tested at the same clinic when she went in for surgery, and it turns out he has Eagles Syndrome. What are the odds?!?
It got me thinking that maybe this isn’t as rare as people think it is? Maybe they just aren’t looking and it’s rare we are taken seriously?

Anyhow, thanks again! <3

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@Tamasaurus -

We on this forum are in total agreement w/ your last two questions i.e. that ES isn’t as rare as thought, just under diagnosed, & in many cases, it is rare that we are taken seriously.

I’ve annotated your top image of those you posted…I’m not a doctor, but have circled what looks suspiciously to me like calcified stylohyoid ligaments but I’m not sure I could see your right styloid. Couldn’t see the left one at all. I suspect your calcified ligaments may be an extension of your styloid processes but would need a better picture to comment on that. In this image you can also see how straight your cervical spine is & that you have forward head posture i.e. your head isn’t squarely over your shoulders. The loss of lordotic cervical spine curve does put the styloids, especially if elongated, in a more advantageous position to irritate nerves & vascular tissues.

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