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Hi @Quiju01 - Welcome to our forum! Many of your symptoms sound like they could be related to ES w/ internal jugular vein (IJV) compression while other are the result of nerve compression or irritation most likely by your elongated styloids.

Migraines, neck pain, blocked/ringing ears, dizziness/vertigo, brain fog, vision problems, numbness on back of head are all symptoms of a vascular issue.

Sinus blockage/pressure, facial pain, neck pain, pain around the ear, jaw pain, facial pain, vocal fatigue, tongue fatigue throat issues, pain behind your upper molar, & anxiety are all related to nerves that can be negatively affected by effected by elongated styloids.

The following post is a bit long but it will help you see why we’d guess your symptoms are predominantly being caused by your styloids affecting nerves & vascular tissues in your neck thus the doctor who said your “spine” is responsible is correct but only if he’s referring to the upper part of your cervical spine (C1) & styloid processes.

IJV compression coinciding w/ elongated styloids most often occurs between the styloid(s) & C1 vertebra up near the skull base. When the IJV(s) is/are not fully open, the rate of blood flow out of the brain via IJVs is reduced whereas the blood flow into the brain via the internal carotid arteries (ICAs) remains normal so a situation of intracranial hypertension (IH) occurs which causes the migraine level headaches & other symptoms you mentioned. Additionally, the vagus nerve passes between the styloids & C1 alongside the IJV so when the IJV gets compressed, so does the vagus nerve which is responsible for managing anxiety, heart rate, blood pressure, vocalization, breathing, swallowing, to some degree, & stomach/intestinal functions among other things. Thus, a number of the symptoms you mentioned above could be related to vagus irritation or compression.

We’d be happy for you to post your lateral x-ray images, but we won’t be able to give you any insight regarding vascular compression until you’ve had a CT scan with contrast. It’s best to get one w/ & w/o so all aspects of what’s going on with your styloids can be seen clearly. You want the imaging to be done between your skull base & hyoid bone.

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