Jugular stenosis has been implicated in the pathophysiology of various cerebrovascular and neurological conditions, notably chronic cerebrospinal venous insufficiency (CCSVI) and idiopathic intracranial hypertension (IIH) [1, 2]. The internal jugular vein (IJV) plays a vital role in draining venous blood from the brain, and stenosis can lead to increased intracranial pressure, resulting in neurological deficits in affected patients [3]. Various treatment modalities have been proposed, including medical therapy, stenting, and surgical interventions. Among these, the C1 transverse process resection is an emerging surgical strategy that aims to decompress the jugular system and restore normal venous outflow.