My symptoms hit after a viral infection possibly covid. I’m not sure how this happened probably vascular inflammation. I have also discovered I have may thurners anatomy with leg heaviness. Not sure which to tackle first. Prior to January I never had any issues extremely fit
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Hi & welcome!
I’m not tech savvy enough to label your images I’m afraid, but what I can see is that your styloids or calcified stylo-hyoid ligaments look pretty long; one side looks like a solid styloid process, the other looks as if there’s a couple of very small gaps so could be calcified ligament…
There’s a little bit of compression with the C1 processes, but from the angle of the CT it looks more like there’s a small blood vessel contributing to compression, which can occasionally happen.
Your hyoid bone processes (greater horns/ cornu) look quite long, and look like they could be touching the carotid arteries, although it isn’t the best view to show this…
I would suggest that it might be best to see one of the doctors most experienced with Vascular ES; Dr Nakaji in AZ, Dr Hepworth in CO, Dr Costantino in NY, or Dr Cognetti in PA. It’s worth travelling to see the most experienced doctors if you can with vascular issues. Some do phone consults I think.
I believe it was Dr Hepworth has said with vascular compressions that it’s best to start at the top & work down, but I might be wrong about that…so maybe the ES should be dealt with first, although obviously it depends on your symptoms & how long the wait would be for different doctors.
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Hi @Labtoms1, Welcome to our forum. Do you mind telling us what symptoms you have that led to your ES diagnosis? Knowing that will help us to determine, in part, what is significant in the images you’ve posted. We aren’t doctors so can’t diagnose anything, but we can give you suggestions to talk to your doctor about based on what we see in your imaging especially when we know the symptoms you have.
As @Jules mentioned, it looks like you have mild IJV compression, at least with your head in the position you had it during the scan. Level of compression can change w/ head position. It also looks like the greater horns of your hyoid may be tangling w/ your internal/external carotids, however, it could just be the angle of the imaging that makes it appear that way.
It’s hard to tell if it’s just your stylohyoid ligaments that are calcified or if you actually have styloid elongation, too. Regardless, stylohyoid ligament calcification alone also can cause ES symptoms so it’s kind of a moot point .
Here are some of your images labeled:
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