This might not be helpful, but on PPE, my vet noticed the large CN. I bought him anyway. Then I started to have a lot of problems with him: rearing, spooking, head-shaking, refusing to go forward, backing up really fast. (Admittedly, he was a ranch horse now confined to a SoCal stall and me, an older rider who wasn’t taking chances, so not handling him assertively enough.)
My vet came on several occasions to observe. She didn’t think it was head-shaking, but I really did, and I thought the CN might be the culprit. She thought it was possible. We talked to local vets to find out about the surgery and it could not be done locally, just at Davis and then it required a lot of planning, so it went on the back burner while I tried to just do day-to-day management.
Handling got worse, so I moved to a barn with a trainer. He was a handful for trainer #1. Trainer #2 got him 4 months later. Trainer #2 was a Pony Club leader. Lo and behold… several months of training and all the headshaking, spooking, rearing, refusal to move – disappeared!
Five years later and he still needs regular workouts, but is absolutely the safest horse, and… the CN never was a problem. His is big. It looks like a bunch of grapes hanging over his iris. Fairly eerie looking actually. But it is not a bother.
You know your guy better, but for me, it was really a training issue. I am glad I didn’t put him through that.