I suspect your daughter’s inability to lie down because of head pain is the result of vascular compression of some sort either by the styloids or possibly an upper cervical vertebra. This compression can cause intracranial hypertension (high blood pressure inside the skull) which puts pressure on the brain & can cause severe headaches. I completely understand what your daughter is going through as I had a head injury a few years ago from a cycling accident. When I was in the ER at the hospital, they had me lying flat while I awaited a CT scan of my head. In that position, I felt like my brain was going to explode. Once the head of the gurney was elevated, the pressure & pain subsided to a large degree. I had a concussion so my brain was swelling, & that’s why I felt the pressure. I fully expect intracranial hypertension could cause the same sort of feeling when a person is lying down.
Since your daughter has vascular compression symptoms, I would go straight for a CT scan w/ contrast so she doesn’t have to be subjected to high dose radiation twice in rapid succession (i.e. CT w/o contrast then one with). Head position is everything when looking for vascular compression. During the scan, she will need to have her head in the position that makes her symptoms the worst as a neutral head position may not show the compression at all.
I’m returning scan2 w/ lines pointing to what could be the styloid. If it is, it does look elongated, and it looks like there is calcification on the ligament. Please remember I am not a doctor, so what I’ve identified could be some other structure. It is in more or less the right place to be the styloid, but the scan is at an odd angle so the styloid angle isn’t quite correct, but I’m still guessing that’s what it is.
I hope some other members give opinions on this, but as Seenie said, we aren’t doctors…
Peony Scan 2.docx (148.7 KB)