Hi, & welcome to the site!
I agree with @Isaiah_40_31 that your styloids do look a bit longer than average, & are quite angled & pointy at the end , so I think it’s worth looking into an ES diagnosis based on that, a CT would be your next step…
Obviously POTS will contribute to dizziness, but ES can also cause that, & given you find it hard to concentrate & have slurred speech it could possibly be that you have Vascular ES- compression of the Internal Jugular Veins can cause increased head pressure and can result in similar symptoms. (I had this, & felt like I was a bit drunk all the time- off-balance, had to really concentrate to follow conversations etc) My vascular symptoms started after I was doing lots of cycling & that head forward position caused a prolapsed disc C5-C6; I already had ES causing nerve pain but not the vascular symptoms.
I’ve not been on carbamazepine, & I may well be wrong, but usually the nerve pain meds have to be taken for a while to build up enough to alleviate pain, do you find it helps you enough taking it as & when you need it? Useful to know if it does help you like that, I don’t want to be telling members wrong info!
ES commonly affects the Trigeminal Nerve and the Facial Nerve, so it could be one or both of these are being irritated & causing your pain.
We have had some discussions about military neck & how it could possibly contribute to ES, as well as exercises to help with this, here’s a link:
“Military neck” (loss of cervical lordosis) relation to Eagle’s - the missing link? - General - Living with Eagle
Hope that you’re able to get some answers & treatment…
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