# Surgery with Dr. Costantino Monday! **URL:** \ **Category:** General\ **Created:** [December 2, 2023, 5:52pm UTC](https://forum.livingwitheagle.org/t/surgery-with-dr-costantino-monday/14782 "2023-12-02T17:52:50Z")\ **Posts on this page:** 1\ **Showing post:** 18
**Author:** ![Isaiah\_40\_31](https://yyz1.discourse-cdn.com/flex027/user_avatar/forum.livingwitheagle.org/isaiah_40_31/32/3054_2.png) [@Isaiah\_40\_31](https://forum.livingwitheagle.org/u/Isaiah_40_31)\ **Post date:** [December 5, 2023, 3:24am UTC](https://forum.livingwitheagle.org/t/surgery-with-dr-costantino-monday/14782/18 "2023-12-05T03:24:39Z")
Dr. Patsalides is in NY - [https://www.athospatsalidesmd.com](https://www.athospatsalidesmd.com). We have had members who have been diagnosed w/ IJV compression by him. He does venograms & vascular pressure readings that help with diagnosis. Here’s a quote from one member of several who was helped to a diagnosis by him. In this post: [https://forum.livingwitheagle.org/t/venogram-imaging/14789/4](https://forum.livingwitheagle.org/t/venogram-imaging/14789/4)@Brandy argues in favor of a venogram as the best diagnostic tool for determining whether or not IJV decompression surgery will be successful. A venogram is also a good starting point for vascular compression diagnosis. Dr. Patsalides does venograms so would be a good resource for you. > [@Newbie... This seems to be me as well. Would love input on my x-rays](https://forum.livingwitheagle.org/t/newbie-this-seems-to-be-me-as-well-would-love-input-on-my-x-rays/13226/18): > > My styloid probably grazes the C1 transverse process as I rotate my head. But I think because of the general rounded it shape, I don’t hit it with every small movement. I had testing done with Dr. Patsalides to see what positions creates worse pressures in my head. Turning to the right is bad and looking down is really bad, so I would assume that in those positions the bones are probably in contact and totally crushing the IJV. Here’s a link to a YouTube video featuring Dr. Patsalides which @vdm posted awhile ago regarding pulsatile tinnitus which is a common symptom of IJV compression: > [@Pulsatile tinnitus, Dr Athos Patsalides presentation](https://forum.livingwitheagle.org/t/pulsatile-tinnitus-dr-athos-patsalides-presentation/12069): > > [[Diagnosis and Work-Up of Pulsatile Tinnitus] ](https://www.youtube.com/watch?v=VoSvypv56CI) Dr. Lo & Dr. Tobias are both neurosurgeons who work with Dr. Costantino but also independent of him. Dr. Lo in particular has diagnosed IJV compression in several of our members: > **[Sheng-fu Larry Lo, MD | Northwell Health](https://www.northwell.edu/find-care/find-a-doctor/dr-sheng-fu-larry-lo-md-11511781)** > > Sheng-fu Larry Lo, MD is a New York-based Northwell Health physician who specializes in Neurosurgery, Spine Surgery Dr. Tobias: [Michael Tobias, MD](https://www.wphospital.org/provider-directory/providers/michael-tobias/) --- _[View the full topic](https://forum.livingwitheagle.org/t/surgery-with-dr-costantino-monday/14782)._