I have a chat with my sisters. Two are not convinced that I need the surgery. But my eldest want me have the procedure. Maybe time will tell. Just need to get my life back.
With respect to your family, many donāt understand ES, & the symptoms, so try not to let family influence you too much if theyāre not supportive. Itās hard for people to understand a rare condition.
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Hi Jules,
Iām still gonna push through with the surgery wether they agree or not. I only need to check my finances and some funds raised by my friends. Most of my expenses was for my therapy and meds for my stroke for the last 9 months. Stroke is not an issue for me now. Most of itās symptoms improved. I can now walk and do biking but not pushing too much. Still dizzy when Iām out of the house for 10 minutes. I trust God will show me the way. He always does. By the way my doctor is also a head and neck surgeon. A bit young but sheās the only one who did not stop to find the answer. Is that ok?
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A head and neck surgeon is ideal! She should be used to operating in the area as the styloids; some surgeons who operate in this are have to remove the styloids to access other structures so it can be routine for them. Will pray that the right path opens up for you 
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Bongty1,
When the topic of surgery does come up with your doctor, please discuss with her the need to remove your styloid as close to your skull base as possible as that will give you the best long term results. If this is a new surgery for her to do, she may not realize the importance of that as many ES surgeons in the past have only shortened the styloid but sometimes that isnāt enough to stop the symptoms.
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Will do Isaiah thanks.
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Palpitation sucks. Hard time breathing too.
I had heart palpitations but only had breathing issues when my blood pressure would plummet during exercise. Itās all connected & makes for some scary symptoms. I do sympathize. Getting my styloids removed stopped all that for me. There is hope for your situation, Bongty1.
Hi @Bongty1,
I am sorry when I read that you have bad symptoms and even had a stroke.
I can only agree with the others when they say that your right SP is pointing forward from the angle more steeply than normal.
In this context, I think I have read that shallower angles are more likely to affect the internal jugular vein, while steeper angles may affect the internal carotid artery.
Now I wonder if the stroke affected the left side of your bodyā¦? - Then you could possibly establish a causal connection to the SP on the right, since the hemispheres of the brain control the opposite half of the body.
I wish you all the best and take care of yourself.
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Hi Bongty1,
ES symptoms can be caused by a styloid process or processes that are extra thick, curved or angled, twisted or pointed EVEN IF they are of normal length. I still think itās possible that the angle in your right styloid could be causing some vascular compression to your carotid artery. I am not a doctor, but your symptoms dictate that something is going on w/ your cranial nerves & possibly vascular tissues that needs to be further explored. Additionally, your left styloid does look a bit long to me.
I read your report & am wondering how the radiologist measured your styloids. He didnāt make any comment about the degree of the angle of the right styloid which might be important to note. Styloid measuring is not a refined art, & some doctors prefer to measure them from the CT scan themselves as opposed to trusting a radiologistās measurements. You might ask your ENT doctor if she can re-measure them & see if she agrees w/ the radiologist.
Please donāt get me wrong. Iām not trying to force an ES diagnosis on you. I just feel concerned that maybe things arenāt as they seem from the scan results because of the symptoms youāve got & especially because of the stroke.
Hi Isaiah,
Doctors assessment is my right styloid was angled on a different direction compared to the left. Suspected that it might be causing irritation/compression on the vessels.
And itās ok Isaiah, I really appreciate all your help and concerns. Just want to get this fix and move on to a better life. Thank you 3000.
Hi Isaiah,
Doctors assessment is my right styloid was angled on a different direction compared to the left. Suspected that it might be causing irritation/compression on the vessels.
And itās ok Isaiah, I really appreciate all your help and concerns. Just want to get this fix and move on to a better life. Thank you 3000ā¦ by the way my doctor said the right one is anteriorly projected. Possible candidate for surgery.
Iām so glad your doctor is still considering surgery. I think having the right styloid removed will make a big difference for you. Just basing my opinion on my experience. 
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Itās good that your doctor is considering the angles of the styloid processes too, they do look wider than the āaverageā tooā¦has your doctor mentioned anything about the calcifications the report comments on in the neck & intracranial arteries?
Hi Jules. We havenāt discussed yet the calcifications in the neck and arteries. She just gave me some requests for laboratory tests. I just had a chest x-ray with apicolordotic view,
all clear. Sputum test tomorrow and CBC. Just to make sure I donāt have TB. By the way Jules is it ok if I wear this back braces? I noticed in my 3d scan and saw my bones seem uneven at the back of my neck.
Thatās interesting, the wonky spine- I could potentially shift the styloids to compressing nerves/ blood vessels; equally if you wear a brace that could shift them the other way? If the brace helps & doesnāt aggravate symptoms then I canāt see the harm?
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Hello peeps,
Been awhile. Too many tests. My doctor said itās not ES. But the protrusion of my right styloid is quite unique thought itās around 2cm only. Sheās still in for surgery. I was telling her about my right tonsil. Not swelling but hard as a rubber ball. Bigger than the left one. When I palpate it can be felt bulging at the anterior arc and like pulling itās muscle down to the base of my tounge. I asked her to take off that tonsil too upon operation. I just donāt want to miss those opportunities that it might help me too if taken out.
Bongty1,
It sounds like youāve made a good decision & Iām so glad to know your doctor is willing to help you. I suspect you will feel much better with that angled styloid & the enlarged, hard tonsil removed. It will take some months after surgery for you to notice the full effect of surgery because nerves are very slow to heal. If your carotid artery is being compressed by the styloid, it will hopefully spring back quickly.
Please continue to keep us informed about how things go for you. 
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Glad that sheās willing to operate, hopefully itāll resolve your symptomsā¦let us know when you get a date!