Thanks @TheDude this is quite interesting paper. I tend to agree with the hypothesis proposed by the letter to the editor that extrinsic compression of the jugular vein by bones be it Styloid or C1 can indeed potentially contribute to clot formation in the sinuses as the 2 studies suggested. I think I have seen one case of clotting in here that involves jugular bulb which is not far from sigmoid sinus. I believe it was reported by @Msdstc and he is currently seeking to remove the styloid compression first prior to removing the clot. It is interesting that the letter did mention Pulmonary Embolism because I did mention the potential Pulmonary Embolism by dislodging the Jugular Vein Clot to MSDSTC without seeing this paper in here (Been a long journey surgery coming up for jugular vein compression. Need advice! - #135 by KoolDude).
My assumption of this phenomenon is that there is a bit of fluid dynamics about how blood thinners help the net flow of the blood through the narrowed space. I think what might be going on is that blood thinners reduce the viscosity (stickiness) of the blood by reducing the ability of the platelets to stick to each other making the blood more watery and more incompressible (A pure liquids such as water are incompressible) meaning that the flow rate of the blood before narrowing = the flow rate of the blood in the narrowed area. In physics this is known as ( equation of continuity). Since Flow Rate = Cross-Sectional Area x Velocity, the velocity has to increase in order to account for the reduced Cross-Sectional Area in the narrowed segment keeping the net flow the same (not entirely accurate since blood is not the same as water but thinning blood approximates water here). We all know this when we compress a pipe with our thumb reducing the Cross-Sectional area of the pipe spraying the water faster. So I hypothesize that there is some validity of the point that @blossom was making regarding blood moving faster/easier in compressed segment since viscous (thick) blood moves slower and requires a greater pressure (assuming heart rate is constant here) to move than thin blood would be. So the net effect is improved flow rate which can reduce the blood backlog enough to make people feel better is my big Assumption here.
Given the evidence that blood thinners do help some ES patients, I think it is good idea provided that you consult with your doctor on the dose and the frequency of taking them. I am really considering it but bit concerned about the side affects of them. Aspirin makes my stomach hurt.
For those physics-minded. I put simple fluid dynamic explanation I found in the internet below.
