I finally had my CT scan w and w/o contrast. The radiology report found normal styloid bone length (1-1.2cm), but calcification on the stylohyloid ligament and, I quote, “associated mild indentation of the bilateral internal jugular veins of doubtful clinical significance.”
I guess my question is if anyone else has had similar imaging and figured out it was, in fact, clinically significant? I’m not a doctor or anything but idk, any degree of impact on critical venous structures sounds…bad? FWIW, I had to explain to multiple people during the CT process what Eagles is since nobody knew and I think what they got from my explanation was just “long styloid bones bad.”
@klizaus I am one of the main members on the forum who helps other members with their imaging. Typically I have members put their CT files into a folder on google drive (or onedrive) and then send me a private message with the link to the folder. I then download the CT files and go through the entirety of the imaging and come back with annotated images. If this is something you’d be interested in, just let me know. You wouldn’t be anonymous to me anymore, but I wouldn’t be sharing any of your personal information.
Technically the definition of Eagles is either elongated styloid processes &/ or calcified stylo-hyoid ligaments which cause symptoms, so it sounds like you’re on the right track! We have had members with small calcifications and these can still press on nerves or blood vessels to cause pain-; you mention on your profile you have nerve pain, the trigeminal , facial and glossopharyngeal nerves are the ones which are commonly affected and cause pain…
IJV compression symptoms vary quite a bit, and it doesn’t always seem proportionate to the compression. Sometimes people have one dominant IJV which is larger, & if this is compressed that it can make more of a difference, and if both sides are affected as your report states, then obviously that’s not great! Some people get veins enlarge at the back of the head (collateral veins), so these can take over some of the blood flow & so they’re have less symptoms, but then these veins can swell and become painful too! But unfortunately often radiologists can dismiss small calcifications (and even large ones!), and also compression of blood vessels as insignificant, whereas doctors with experience will look at the scans but consider symptoms too!
You could get a consultation with a doctor who has more experience, depending on what @TML can see , Dr Osborne, Dr Samji or Dr Damrose all in CA would be good, depending on the IJV compression and whereabouts it is.