It sounds like you’ve coped really well with difficult symptoms for a long time, and done a good job of advocating for yourself, researching yourself & great that you didn’t give up!
From your symptoms, it does sound as if you could have vagus nerve compression, and nerve pain too- the hypersensitivity to cold, toothaches etc (is Lyrica helping with that?), plus given the pain and stiffness in your neck, so getting your styloids removed would hopefully help with that. If you’re fainting with your head turned, this sounds as if there could be carotid artery compression with your head in that position, so again this might be improved with getting the styloids removed.
Obviously it’s hard to say whether removing the styloids would make that much difference to the IJV compression as it’s been noted that the C1 processes and the SCM are involved, although sometimes removing the styloids can free up enough space so that there might be less compression.
Overall there could well be some benefits from removing the styloids, but maybe not a total ‘cure’ for your symptoms, as you say a C1 shave and treating the SCM muscle may well be needed too- I guess it depends on cost, & the logistics of having just a styloidectomy for a partial resolution of symptoms versus waiting longer to have it all done at once?
Just a note looking at your second image- your neck looks quite straight, without the natural lordotic curve, I’m not sure if that’s just the angle of the image or not? If you do have military neck, that could be something to consider as improving the curve with exercises & posture could perhaps improve some symptoms. @vdm has posted exercises to do this:
List of my favourite resources on YouTube to learn anatomy - General - Living with Eagle
If it is just the angle of the CT image then ignore this!
I hope that your treatment plan and what you’re already doing helps you keep managing the symptoms until you’re able to have surgery!
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