Hyoid, Reconstructed CT, Digastric

Oy, sorry to hear. Yes this navigation is super challenging and frustrating. I’m glad you’re following your gut and doing what feels right. I had to do same. Sometimes it’s hard listening to others stories as well, esp if they think their story applies to all. We really need to recognize that everyone’s path needs to be just as individualized as their case is.


In following with the earlier (hyoid) conversion, I’m going to paraphrase what Dr Annino had said to me (and what a patient, Connor C, expounded upon in the FB group). It’s likely true in my case.

Sometimes styloids prevent the chin tuck required for a normal head posture. Styloids can give a severe forward head posture because they can press into the carotid sheath when one brings their head down to look forward. So instead, the person has to keep their head tilted up. To look forward is to be forced to drop the neck into the typical forward head posture. All of the random muscle spasms throughout their neck and jaw might cause movement dysfunction across the TMJ.
This might cause C1 to be malrotated to the right which is likely what is causing compression of the 8th cranial nerve.

Below paragraphs I’ll share what my functional MD has has sent me before my surgery. She’s been with me 17years on this journey:

Yeah I think you are very close to a full resolution with these surgeries. My new theory is that the ES over time causes “congestion" in the brain, heavier brain, tends to “sink” into brainstem, and the ES surgery may take the C1 problem and render it moot.

The C1 notch is the third side of a triangle, holding together the jugular, carotid and vagus nerves- as well as some CN nerves (traveling thru or nearby). So in a way, to the extent the C1 adjustments created space and decompressed the brain, they were somewhat lifesaving for you. Chronic high pressure will lead to demyelination, eventually possibly dementia. So I think the C1 work obviously was not curative but represented very good palliative approach, though we didn’t know it or understand it fully.

I wonder whether the CCI (instability) comes first, and the pressures on the styloid due to malpositioned C1 (which is ultimately due to ligament sprain/damage from trauma and/or chronic inflammation) CAUSE the styloid to thicken, calcify etc; that it is the body’s way of trying to stabilize holding up the head. Which would explain why it might regrow as in the young boys case.

The brain has no direct pain or pressure sensors, but indirectly if there is higher pressure it will push on the eye orbits, skull, 8th nerve and ear apparatus, and cause jugular pressure…so i can believe, yes, that when you sat up, there was some relief of ICH/high jugular pressures that you felt. Also, your behind the eye pressure causing you to shut one eye after waking or laying, is relevant.

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WOW! That is some amazing insight on your doctor’s part, @Thans! Connor had some really excellent thoughts as well. Thank you so much for sharing!

Oh gosh! Do you have CCI? Were you diagnosed with that through imaging? Do you know if C1 is an issue with you? Hepworth was going to do a shave for me but I instead am going elsewhere with my surgery, decompression, C1 shave together. I have severe ligament damage as well. There are surgeons who can handle all. I have both CCI/AAI, severe stenosis at C1 plus pretty bad ligament damage. Hep also found on imaging confluence of sinuses and the need for stenting in brain that we need a confirmation from Patsalides next week. I have consult prior to surgery with Henderson.

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You’re seeing all the best doctors, @Brandy. May each one’s contribution lead you to healing & a good long-term outcome.

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I didn’t do the DMX, so I’m not sure about CCI. But what my dr is saying is that the styloidectomies likely would make that diagnosis moot.

My history is that as a child I had terrible allergies and mild hearing loss as a result. Allergy shots and meds never helped. Then at about 9 years old I had my first chiropractic adjustment and my world changed. The minute he adjusted my neck, fogginess in my head I didn’t know I had, dissipated. I could hear better. I could smell (kept asking my mother what all those smells were… she identified… grass, perfume, gas, etc). Was unbelievable. My allergies went away. I didn’t need to continue ongoing.

And later as an adult after I started Hypnic jerking, if I got my neck adjusted, I’d have 3 nights free of jerking. Then, I discovered Atlas Orthogonal and slowly my body calmed. The addition of Diamox was a panacea pretty much. The jerking was now finally under control. My hope is that the final piece (of what I believe instigated a genetic mineral channelopathy) was the removal of calcium in my shoulders, neck and head. Fingers crossed.

So I’m doing well right now.

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What a journey you’ve had! May you do well long into the future, @Thans! :pray: :hugs:

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Neurosurgeons don’t rely on DMX but upright imaging to diagnose CCI/AAI. That’s how mine was diagnosed. Although, I did both. The concern amongst Drs is removing a portion of the styloid can make the instability worse. That’s my dilemma as well and the reason I responded to your comment regarding CCI and ligament issues. I also have severe flipped vertebra. I’m happy you got relief.

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TY. As long as the Dr removes above C1, I’m not sure why it would cause instability. But I have read that the body prefers symmetry. So I will do the other side, esp bc of looks the way it looks if im having left side symptoms in a few months.

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Also, from CSF flow and craniocervical junction MRI’s, my ligaments were sprained as well. And c1 badly rotated. I suspect that correcting the pull from the hyoid helped a lot.

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Anne, can you pls share what your DMX and other CCI test results were? I’m so curious. And remind me why the styloidectomy could make c1 issue worse?

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May I know how long your styloids were?

It is my GUESS that the longer the styloids are, the more likely it is to grow in the anterior direction and the less likely it is to be very vertical. But I think a short and symptomatic styloid is likely to be very vertical.

This is why it’s frustrating that that study did not document the length of the styloids as the relationship between the length of the styloid and its angle would be interesting to know.

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@Thans - Some doctors believe that the styloids have no influence on cervical stability as the styloids themselves really don’t serve a stabilizing function in the neck. They’re merely an anchor point for several muscles & ligaments. Other doctors disagree. It’s my feeling that people w/ CCI may end up w/ elongated styloids/calcified stylohyoid ligaments as the body’s way of trying to help stabilize an unstable neck so they may actually help w/ cervical stability under those conditions but not w/o the detrimental effects that elongated styloids/calcified ligaments cause. It’s a tough situation as spinal fusion isn’t a great option to help w/ CCI issues & living w/ the pain caused by elongate styloids/calcified ligaments is not really an option either.

I believe there has been some progress made in the world of PT for people with CCI i.e. via strengthening particular neck muscles, thus if a styloidectomy is necessary, all is not lost. I can’t tell you where I heard or read that, but it makes sense to me.

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6 and 3 cm respectively

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