You have a thin IJV on the left (and it’s not certain that this is compression). On the right, you don’t have IJV compression. But on the left, you have a narrow jugular foramen, and this is likely the reason for your thin left IJV. And perhaps the surgery in the C1 area won’t have any effect. That’s why Axon (Higgins) refused. Post and share the Dicom CT scans so that it’s clearer for everyone.
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Hi Jordan,
Get that cerebral CT scan with contrast to show your cerebral venous network and especially to see what your petrosal sinuses are like.
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Dr. Aghayev puts two-way compression of veins on everyone (on both sides), even if there is no significant (critical) compression of the vein on the other side. He has this method))). Unlike him, Doctors Liu and Nakaji if they see that there is no significant compression of the veins on the other side, and there are no pain symptoms, then they do not perform surgery on this side where there is no significant compression of the veins and symptoms (even if there is an styloid process).They also measure blood pressure. And think for yourself: why do it from both sides when there’s no significant compression on one side (it’s asymptomatic)? I’ll also add that Dr. Axon (he works with Higgins) is a neurosurgeon with extensive experience in this field.
Mr Axon is an otolaryngologist, not a neurosurgeon @Filya . Mr Higgins didn’t seem to be doing surgeries a while back, not sure if he is again now though …
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It doesn’t matter who Axon is — he has experience. Also, there have been more than a few instances when Dr. Aghayev prescribed bilateral surgeries even when one side wasn’t compressed. We also can’t rule out the possibility that Jordan has a narrow jugular foramen in his skull. And as a result, a thin left IJV. But I’m not doing any guesswork. I need DICOM CT scans to be able to say for sure. Otherwise, we can speculate and fantasize a lot without the scans. )) I’m not a fortune teller, and I don’t read tea leaves))))
Bonjour savez vous ce que ça peut être ? Merci pour toute vos réponses .
TRANSLATION:
Hello, do you know what this might be? Thanks for all your answers.
@Jordan - That looks like your left styloid to me. I has quite a hook at the bottom. Can you post another picture but from the front? I recall you’ve posted your imaging in the past, so I’m sorry to request it again.
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Just don’t want members trying to search for him online etc with the wrong category/ specialism , that’s all .
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Bonjour désolé de toute les images qui vont suivrent 
TRANSLATION:
Hi, sorry about all the images that are about to follow.
Others are more experienced at viewing images than I am, but the C1 process in this image does look pretty enlarged & compressing the IJV, the IJV on the opposite side is so small it’s barely visible!
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Jordan !!!
The blue arrow are pointing towards the right and left jugular foramens/jugular bulbs. It is highly suggestive that you are right sided dominant on this view which was suspected previously.
The red arrows are pointing towards your right and left anterior condylar venous confluence in the hypoglossal canals.
And the yellow arrow is in a position that suggests that there is a congested left inferior petrosal sinus trying to drain into the left internal jugular vein !
The enlarged bridging vein, pink arrow, is a vein which is probably trying to shunting venous blood from you right (high resistance) to you left side (low resistance) and is possibly a variant of the basilar plexus (the transverse clival sinus or inferior interpetrosal channel, a large dominant horizontal channel ) !
This interpretation needs to be verified by a doctor ! i think I’m going to drink a beer to get to sleep.
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Emerald je ne comprend rien mdr , tu as vu quelque chose d’intéressant ? Merci beaucoup
TRANSLATION:
Emerald, I don’t get it at all lol, did you see anything interesting? Thanks a lot.
@Jordan, to me it appears you have bilateral IJV compression being caused mostly by C1.
Merci Isaiah 
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I don’t see any significant compression in the vein on the right (stenosis is only 30-40% (i.e. the vein is open by 60-70%) - this is not critical) .And I don’t think decompression of the right IJV in the C1 area will have any effect. Your problem is the left IJV, it remained compressed between the remainder (root) of the styloid process and the rectus capitis lateralis muscle (I have already seen this on CT scans quite often). Also, your jugular opening in your skull is narrow (but it allows blood to flow through). That is, decompression of the left IJV should have a positive effect (either complete removal of the styloid process, or shaving C1). The only question is the narrow jugular(jugular foramens) opening, to what extent this opening restricts venous outflow, and there are no guarantees. And need Dicom files
You also have hypertrophied digastric muscle. What is the problem of their hypertrophy?
I don’t see any significant compression in the vein on the right (stenosis is only 30-40% (i.e. the vein is open by 60-70%) - this is not critical) .And I don’t think decompression of the right IJV in the C1 area will have any effect (apart from complications and worsening conditions after surgery). Your problem is the left IJV, it remained compressed between the remainder (root) of the styloid process and the rectus capitis lateralis muscle (I have already seen this on CT scans quite often). Also, your jugular opening in your skull is narrow (but it allows blood to flow through). That is, decompression of the left IJV should have a positive effect (either complete removal of the styloid process, or shaving C1 and resection rectus capitis lateralis muscle ). The only question is the narrow jugular(jugular foramens) opening, to what extent this opening restricts venous outflow, and there are no guarantees. Talk to your doctor about it. And need Dicom files
You also have hypertrophied digastric muscle. What is the problem of their hypertrophy?
I’ll add it, I’ll edit it. I actually read about your symptoms that you mentioned earlier. You said that you don’t have vascular symptoms (at least you don’t think so. That is, you don’t have intracranial pressure, you don’t have fog in your head, etc.). You say you have trouble swallowing(dysphagia) and neck pain, and these are all your problems. There are actually several possible reasons.:
1) Your swallowing (dysphagia) problems and some pain are related to the hyoid bone /thyroid cartilage (hypertrophied digastric muscles confirm this).
2) Your facial nerve and other nerves are compressed between the remainder \ root of the styloid process and rectus capitis lateralis muscle (less likely , but maybe due to the veins in the jugular opening )
3) Neck pain may be associated with protrusions of the vertebral discs or TOS
well, some of the pain in the neck (behind the tonsils) is the result of surgery. The pain will decrease over time, but it will be there. There’s nothing you can do about it.
Do you also have stones in your salivary gland?
@Jordan Do you have these pains all the time? Or only after eating?
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And at least three neurosurgeons perform surgery on only one side if the other side of the IJV is not significantly compressed and there is no pain . And these patients get better, their symptoms go away. Dr. Peter Nakaji and Dr. James K. Liu (USA) and Andreas Schmitz из клиники Bel Etage Clinic (Germany), They also measure intracranial pressure. and Dr. Axon (UK)
Your image CT www drive.google(dot)com/file/d/1tIpbfQv0dezQdINVaFzcg9Gg5beTdEpO/view?usp=sharing