Henry : May i ask you the surgical technique Dr Hackman going to take.
And also is Dr going to section C1 disc too.
He is going to take both styloids by the external method. He is not shaving C1.
Hey Henry, How did your surgery goā¦ Did you get relief?
Hi all,
These posts have been very helpful. How do you know you will need to have surgery? My jugular veins are being compressed by my styloid processes & the left one is shut down to where the blood is flowing through a 2-3 mm space. I have an appt with Dr. Cognetti in March.
The fact that my styloids were compressing the jugular veins & causing Intracranial Hypertension symptoms made me decide to have surgery. Surgery is a personal decision; there are risks, but then with vascular ES especially there are risks in leaving the styloids in.
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Most of us have surgery when our symptoms are bad enough we canāt enjoy our lives or function normally because of our ES symptoms. Vascular ES is a little more dangerous than regular ES from the standpoint that IJV compression reduces blood flow from the brain back to the heart which causes too much blood in the brain & that causes intracranial hypertension & many of the symptoms related to that form of ES. When the internal carotid artery (ICA) is compressed, blood flow to the brain slows. Symptoms are similar between both types of vascular compression & both run the risk of damage to the vessels. Additionally, there are also most likely some cranial nerves being affected & long term nerve irritation can translate to permanent nerve damage.
All that said, if your symptoms are not debilitating &/or are manageable w/ medication, waiting to have surgery until symptoms worsen is a good choice.
I use a soft, home chamber several times a week. What would it do regarding Eagles and jugular vein?
I think itās worth discussing with your doctor; Iām not an expert, but my understanding of hyperbaric chambers is that theyāre at a higher atmospheric pressure than normal air; as jugular compression can cause increased intracranial hypertension, I would presume the increased pressure in the chamber could exacerbate that. I would guess for nonvascular (classic) ES, it could possibly help with the inflammationā¦
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Hi Henry!
I knew ishā¦did you find someone to help?
How are you doing?
@Carrie68 - Henry hasnāt been on here for a few years so he may not answer. I do know that his surgery with Dr. Hackman didnāt resolve his vascular symptoms, but I donāt know if he ended up seeing someone else to help w/ his vascular compression. Weāve learned a lot about vascular compression on this forum since he was here & know now that things like EDS & CCI/AAI, compression by nerves, muscles or other vascular tissues can also be contributors so styloidectomies arenāt the end all we once hoped they would be. I also think shaving the transverse process of C-1 is a more common procedure to help decompress the IJV if removing other compressive agents doesnāt help with that.
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Thank you for letting me know!!
I hope Henry was able to get relief!
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I hope so, too. 