Pain Management/Cat Scan Results


"Hello and first thank you for answering my question.
Years ago I was diagnosed with elongated styloid process on a cat scan. This said it could cause upper phalangeal discomfort.
Back to the present day, I've been having dizziness and balance problems for around 9 weeks. Friends suggested this could be Eagles Syndrome, so I had a cat scan results:
History: Dizziness and ear pain
Technique: Non-contrast scans
Findings: The ventricles and extra-parenchymal fluid spaces appear normal. There is no midline shift. There are no areas of abnormal parenchymal attenuation or swelling. There is no mass lesion, haemorrhage or surface fluid collection.

No petrous temporal abnormality seen on either side, with normal pneumatisations of the middle ear cavities and mastoid air cells. Internal auditory canals and remaining inner ear structures appear normal. No petrous temporal soft tissue mass or bony destruction.

Mind - moderate polypoid inflammatory mucosal thickenings in both maxillary sinuses, significantly worse on the left. Minor mucosal thickening in the left spenoid sinus. Remaining paranasal sinuses are clear.

Comment: No intracranial or petrous temporal abnormality demonstrated.

Does this mean that my elongated styloid process has been picked up or not been shown ? If it has been shown does that mean it's doing no damage. I have tight muscles in my neck and scared that it might be affecting my carotid artery. Would the styloid bone be picked up at all and mentioned if this was a problem.

Kind Regards


Hello, Karen,

An elongated styloid process would show. But unless you've been having upper pharyngeal discomfort all your life, you may rule that out as a problem.

If your carotid artery were affected, you would be faint or pass out ("transient ischemic attack"),
so you may rule that out, too.

Tight muscles in the neck are a typical cause of dizziness from their neurological effect on the balance centers of the ears and the movements of the eyes. Please see the entry on dizziness on this page:

Please also see this entry on neck conditions:

Ear pain suggests TMJ dysfunction. Please see this entry:,1.htm

Tight jaws often go with tight neck as the aftermath of a neck injury, which may have happened long ago.

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Lawrence Gold


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In practice since 1990. Two years on staff at a hospital Wellness and Rehabilitation Center.

Townsend Letter for Doctors and Patients, American Journal of Pain Management, Somatics: Magazine-Journal of the Mind-Body Arts and Sciences. More complete listing at

Certifications: Hanna Somatic Education, the Dr. Ida P. Rolf method of Structural Integration (partial list)

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