Surgery Stories for Jugular Vein Compression

Hi, I have severe bilateral jugular vein compression (occluded to <10% on both sides) and my symptoms are debilitating. I am in the process of getting scheduled for surgery, and I am very nervous. My quality of life is so low, and I’m so afraid of things getting worse from surgery:(

We are going to start with my right side because that side is the most symptomatic, then will make a decision about the left side 3-6 months later.

I was able to search a few stories on here, but if you have had severe compression, can you give me an idea of what to expect for surgery and the following weeks/months? I will be having a styloidectomy and resection of the C1 transverse process, the posterior belly of the digastric muscle, and probably a few lymph nodes. I likely have compression from the spinal accessory nerve and maybe the carotid as well. I have constant pain in my right neck, jaw, lymph nodes, ear, and head. Horrible head and neck pressure, tinnitus, vision issues, fatigue, dysautonomia, etc. But my worst symptom by far is the brain fog/cognitive dysfunction. I cannot focus on anything and my brain feels like it’s full of poison all the time. I no longer recognize myself and am no longer able to maintain my hobbies or relationships. I can’t drive anymore or work. Did any of these symptoms improve or get worse for you? What was the timeline? Did you have one side or both sides done?

Thanks in advance and I look forward to hearing more of your stories!

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What you’re describing feels very familiar to me. I had bilateral styloidectomies this past December, and I still have ups and downs, but before surgery, there were no ups at all. The head pressure was horrible so debilitating, the nerve pain I am still waiting for a reprieve.

It isn’t easy to wrap your head around the ups and downs of recovery, but there are no ups if you don’t move forward. You can do this. It won’t be easy, but it can be the start of things shifting.

For me, the brain fog did improve, it just took time, close to three months before I really noticed it lifting. The neck and head pressure are still there, but it’s not that 10+/10 level anymore. Healing from this takes time, and it helps to remind yourself of that when things feel up and down.

And I know exactly what you mean by that “poison” feeling. I tried to explain it for so long, and none of my doctors really understood what I meant, but it’s very real. My symptoms are improving, just slowly. It’s gradual annoyingly slow, be patient and kind to yourself.

Try not to overextend, because it can set you back. And overextending can be something as simple as doing too much of something you enjoy in one day.

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Hi @carina, I just wanted to say I am so sorry you are suffering! I haven’t had surgery yet so I don’t have any advice, just wanted to send you prayers and positive vibes :cherry_blossom:

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Thank you so much for taking the time to reply! And I’m so glad you did, because I definitely would be trying to overdo it if I feel even a little better. Sorry that you’ve been through the same thing/are still going through it. Thanks again, it helps to have realistic expectations

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Hi Carina,

Sorry you’re going through this. My situation was very similar to yours and it sounds like your plan is similar to mine. But I am one step ahead so I thought I’d share my experience so far.

Like you, my symptoms made it difficult to function, and while the list was long, my worse symptoms were the head pressure, headaches, and brain fog. I had bilateral occlusion on both sides. I had my first styloidectomy with resection of C-1 process, posterior belly of digastric muscle, and a lymph node. I am currently about 10 weeks post surgery.

It did not solve the problem and I will likely need the second side done as well - However, since the surgery, it’s the best I’ve felt in 10 years. As others have said, I still have some down days, but my bad days are not as bad, and I have days that are close to normal.

The only thing that is worse for me is that there was some nerve damage so i have the “first bite syndrome" that is slowly getting better with time. The only other thing that is bothersome is that I swear the side that has yet to be removed is worse than before. This could also be that I notice it more now that I have one side that feels better.

But now I can bend over for a period of time without passing out or experiencing crushing pain. I can tie my own shoes again and wash my feet. I can lay down for longer than I used to even though this still builds some pressure. My range of motion in my neck is better - not fixed, but better. And I can tell that a lot my stiffness is one-sided, which I take relief from knowing that this could be helped in the future.

While I can’t speak to your specific situation, I too was afraid the surgery wouldn’t help or would make something. So far, it didn’t fix me, but I do have aspects of my life back again these last few weeks. I would do it again in a heartbeat. Even if the second surgery didn’t “work” like the first, I will be forever grateful that I did the surgery.

The surgery is both easier and harder than I thought to recover from. Because I felt pretty good pretty quickly after, I definitely over did it on a few occasions and felt like I got set back. You almost feel better than your body is (yet) able to handle - which I take as a good sign, because I didn’t want to do anything prior. After surgery, I wanted to do things again (even if still limited). I attribute this to the brain fog lifting. My friends and family say they notice my word choice, pace of speech, and cognitive function all returning to my old self from years prior. But as others have said, do keep in mind that the surgery does seem to take a while to truly heal. I still notice a lot of healing going on and I was fatigued for a good month afterwards. But that is all slowly improving.

While this was just my experience, I hope it gives you some understanding and maybe some hope that improvement can be obtained. I am much better after just one surgery and hope to be that much closer after two. I dearly hope you get the same relief some day soon. Good luck.

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You’ve been given good info from @MGORNEAU and @RobotEagle , so I hope that this is helpful…
I had bilateral compression just from the styloids though, no C1 involvement, but I was still feeling rough before my surgery. I had nerve pain which was bearable for a while so I put off having surgery, but when the vascular symptoms ramped up I decided the risks of surgery were necessary to try and get my quality of life back. I was very lucky and my symptoms eased pretty quickly after surgery, but over the years I’ve realised this is unusual, most people with VES find that their recovery is much longer as the others have said. But overdoing things is really common & we all come to regret it! Also having a bit more pain on the second side is common too, and first bite syndrome (where you get a pain in your cheek/ jaw area when you first eat), but this for me was a small price to pay for how good I felt after surgery, and keeping hydrated helps.
If you’re not sleeping propped up that can help, and some members have taken anticoagulant medication to alleviate symptoms before surgery.
It is unusual to feel worse after surgery, make sure you keep up with painkillers, and ice regularly. There’s lots of info about recovery here:
ES Information- Treatment: Surgery - Welcome / Newbies Guide to Eagle Syndrome - Living with Eagle
I hope that you find the forum reassuring, will you let us know when you have a surgery date so we can pray for you? :hugs:

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This is great to hear. I definitely don’t expect everything to get fixed and would be very happy with this level of improvement after my first surgery. I also can’t bend forward at all, I’m so glad that improved for you!

It’s so great that you want to do things again. I know exactly what you mean, my executive dysfunction is so severe, and I have zero motivation to do anything because the cognitive issues make it nearly impossible. I look forward to that hopefully improving and being able to have conversations and organize my thoughts again.

Are you doing anything to help with the first bite syndrome? Or is that just something that will improve with time?

Thank you so much for the response, and best of luck with your second surgery!

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Thank you for sharing! I’m glad that you had a speedy recovery, and I hope that is the case for many. I’ve read some of your other posts and it sounds like you’re vascular symptoms were similar to mine in a lot of ways. I also get the weird scary brain sensations and the brain ‘rolling up’ feeling. It’s nice to be understood, and it gives me a lot of hope that those symptoms improved for you. I will go ahead and read that thread, and I will let you know when I have a date!

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For the first bite syndrome, I was told to suck on sour candies and that it might help. I’m doing that and not sure it’s working, but it’s definitely getting better over time nonetheless.

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@RobotEagle & @carina - I tried a bunch of different things for my FBS & what worked the best was drinking a lot, as @Jules mentioned. I pushed for 70-100 oz of fluids (non-sugary & non-caffeinated) per day to help keep my saliva more dilute which seemed to reduce the intensity of my FBS. You might be able to get by w/ less fluid consumption so you can experiment to see what works for you or if it even does. If FBS is very extreme, Rx nerve pain meds can be helpful to get you over the hump as FBS usually goes away w/in the first 6 moths after surgery. Mine lasted longer but decreased in intensity as time passed.

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Hi, Carina. Your symptoms are quite similar to mine, as they were prior to surgery(s). I was apprehensive about the surgery, who wouldn’t be, but that apprehension was also a byproduct of the fatigue from years upon years of suffering. When surgery time finally came, I felt so relaxed about it, knowing that I was in very good hands and that some things would be resolved to a large degree and they were. Aside from two or three days (post surgery) of some difficulty with swallowing, I found the recovery was much easier than I had thought it might be. Pressure in the head, screaming 24/7 tinnitus, foggy brain, unsteadiness, dizziness have greatly improved with unimpaired blood flow through the IJVs and decompressed nerves. Digestion has improved, too. I’m nearly two months out from my left side surgery and five months out from my right side. While the symptoms were all so very real for decades, I definitely am back among the living. You have some good things to look forward to.

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@Octoberkurt thanks for coming back with an update, and I’m so pleased for you that things have improved significantly after suffering for so long! Great to hear :grinning_face:

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This gives me so much hope, thank you for sharing!! I’m sorry that you suffered for decades, that sounds absolutely brutal, but I’m glad you finally got some level of relief. My symptoms have only been bad for the last two years, and I feel like I can’t go on:( I can’t imagine dealing with it for that long. Surgery is my only hope at this point, and I am very confident that jugular vein compression is my issue after exploring many other avenues. I guess I’m just wary because I’ve been promised relief many times before, and I used to put my full trust in my specialists, but I only continued to decline. Of course that was the case because none of them had the right diagnosis, but I didn’t know that at the time. I just would hate to be wrong again

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It is a common thread with all of us, I think, to have seen several specialists to get to the correct diagnosis. Had to be done. I’ve found that the specialists I’ve seen through the years simply didn’t have it in their area of speciality to recognize Eagle and its variants. I am 69 and was told by my surgeon that ten short years ago the imaging wouldn’t have been nearly as revealing as it is today. So, we are in a good place with advanced medical technology. I have had major improvement through these two surgeries. While I’m not 100% “normal”, the marked relief has given me much clarity and I feel relaxed enough now to carry on with patience as my systems recognize the improved vascular and neurological wiring, so to speak.

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Really good news about the positives in your recovery @Octoberkurt! You can expect more good to come as the months pass. I hope the residual symptoms you still have will all gradually fade away but even if some stick around, you’re still far ahead of where you were prior to your surgeries.

Thank you for your encouragement of @Carina, too. It helps our members awaiting surgery so much to hear success stories from those who’ve gone before them into surgery. :blush:

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