Hi I have been told I do not have jugular vein compression by the styloid.
I have downloaded some images but I am pretty sure I have taken the wrong ones. Nevertheless I am posting them here to see what the forum experts think. I had a ct a/v.
I can download more if needed.
@markp - Those are nice images, but the ones that help us to help you the most are in the transverse plane i.e. from the side where we can see the styloid & IJV up near the skull base. I can’t see your styloids in these images.
Here’s a link with some good examples:
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@markp - It’s unfortunate that they had your head in a cradle that didn’t allow for the images to be easily accessed in their entirety. You did a good job with what you could show though.
Only the very tops of your styloids where they come out of the skull base are visible, & it’s extremely difficult to tell whether they’re contributing to compression of your IJVs. I can’t see your C1 vertebra at all. As it often works together to cause IJV compression, I can’t comment on whether or not it is in your case.
Both of your IJVs look a bit flat in the sections I can see w/ the left looking worse than the right as it actually has an indentation in it which I annotated w/ arrows. If you find a way to peel back the layer of the cradle that held your head to see what’s behind it, that would be helpful, but it sounds like that may not be possible.
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i paid a lot of money for this scan but this is uk medicine for you, keeping my head in a cradle that does not allow proper images!!
can i ask do you think at least the doctors would be able to see the relevant bones from the 2d images or would they have the same problem?
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here is some more but not sure they will help, there was an option to show bones in a different colour:
radiant should have an erase tool that you could remove most of the head cradle with. Just adjust the angel so you only select it when you go to remove stuff. I also used that tool to remove my front jaw/sinus area fore easier viewing.
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You can use the little scalpel tool to remove it. Rotate the head so the cradle is moved out of the image, select the scalpel took and trace around it, then select “cut inside”. Presto! The cradle is removed. I created a little image for you 
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They are very strange shaped styloids! Quite thick, & a funny angle, although not that long, it can still cause issues if it’s thick…the IJVs do look flattened , but on these new images it doesn’t look as if the C1 process is involved, so it could be from the styloids further up at the skull base, or from something else- muscles can compress them, other blood vessels, nerves even. Are you able to get a private referral, or would you have to go through the NHS? If you can get a referral to Mr Axon at Addenbrooks hopefully he could give you his opinion?
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hopefully these images are clearer
LEFT (which is the dominant side for my Pt)
RIGHT
P.S that lump at the back of my head is a benign bone growth
It’s weird, in those last 2 images it looks as if the C1 process could be compressing it a bit…it doesn’t look as squashed as lots of images we see though…
possibly why I have been told my PT is somatosensory rather than ijv related…
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@markp - Doctors usually look at the CT slices, not 3D images, in order to make a diagnosis. The 2D/3D images are very helpful for those of us who haven’t educated ourselves on how to read the slices as they show the “whole picture” vs. tiny sections of it.
I agree w/ @Jules that your styloids aren’t very long, but they are thick, & the left one, in particular, is a very odd shape. To determine the possible cause of the compression of your IJVs, you may need an angio/venogram, but those are pretty invasive so having a consult w/ Mr. Axon first would be the best idea.
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Hi i am trying to look at the 2d images. Can anyone distinguish between the carotid and jugular vein on here? I have been told my carotid is indenting the jugulars against the transverse process of c1 and surgery could ‘possibly’ help.
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I’m not able to label the images for you, but in the right side of the images you can see compression…