Interesting article - IJV compression not always pathological / symptomatic. How to determine if it is?

@Brandy - I’m glad you’ve made a decision. I know you’ve done your due diligence in researching surgical technique & outcome from the doctors you’ve interviewed so expect a positive outcome from surgery.

I’ve heard great things about Dr. Henderson from a few members who’ve been out to see him so you’ll be in good hands there.

If you don’t mind me asking, what will the muscle biopsy help determine?

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Thx. Will do!

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Nothing related to Hepworth’s surgery. I have nerve damage and muscle issues of which I have been on IVIG for. It’s not helping….

@Brandy - I’m sorry to hear that. I have a friend who’s doing IVIG therapy. The jury is still out as to whether or not it’s helpful for her. I hope the surgery w/ Dr. Hepworth goes far toward resolving symptoms even beyond those caused by ES.

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You and me both! My big concern is after surgery. Many experience shoulder pain and pain from the accessory nerve being released. I already have pain on same side due to needing (we believe) a fusion C3/4/5. One of the reasons I am seeing Henderson first. This along with undiagnosed nerve/muscle issue has me very concerned. One of the reasons I have held off for so long. I still see many doing surgery with not favorable outcomes due to not getting the full picture prior. Fingers crossed!! My cognitive decline is awful……

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@Brandy - If it’s any encouragement, not everyone has the accessory nerve involvement. If your shoulder pain is coming from your cervical nerves, your shoulder pain may not increase as a result of ES/vascular deompression surgery.

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Did bryan have eagles or just forward c1?

Not so clear. This is from his website: “Likely cause: bilateral styloid + atlantal transverse process compression of the IJVs on both sides; multiple signs of raised ICP on serial MRIs.”

He probably doesn’t know if the styloids are a problem, as he apparently has never had a CT scan due to radiation concerns. I do think it is more likely that only C1 was the cause.