Opinion on CBCT Scan and Report

[Isaiah_40_31]

As you noted that your symptoms are worse with head rotation especially to the right, it may be that you have CCI (craniocervical instability), & your C-1 is “over-rotating” w/ head rotation. This won’t show up in a static scan such as a CBCT but will show in a dynamic test where images are taken with your head in different positions. Thus it may not be that your C-1 is rotated as much as it over-rotates w/ head movement. This is just speculation on my part. Mr. Hughes & Mr. Timothy have both been mentioned as doctors who diagnose CCI & both apparently do vascular decompression surgeries & styloidectomies.

@PatientD

Hi, I have had styloid removed to skull base by Mr hughes. He uses external approach and incision is made in neck crease. I would have no hesitation in recommending him to you, he is a highly skilled surgeon. I have listed his contact details on earlier post.

I saw Mr Corbridge- he does not operate to remove at skull base so fine for ES but not VES patients. Don’t know about others you list.

I have both my jugular veins decompressed. First one was with Neurosurgeon mr Jake timothy at Nuffield Leeds. He trimmed my C1 tubicle & cut styloid. He makes a very small incision in area behind ear so it does not mean same area is being operated on twice (ie. not neck incision). But he does not normally touch styloid just does C1 trims.

I agree w/ Jules that your styloids do look thicker toward the top & the left one in particular gets very thin & needle like toward it’s lower end. The right does, too, but not to the extent of the left one. The right one also looks longer than the left to me but it might be the angle of the image I viewed.