1 1286 114 GRAY MATTER AND FUNCTIONAL CONNECTIVITY IN ANTERIOR CINGULATE CORTEX ARE ASSOCIATED WITH THE STATE OF MENTAL SILENCE DURING SAHAJA YOGA MEDITATION. SOME MEDITATION TECHNIQUES TEACH THE PRACTITIONER TO ACHIEVE THE STATE OF MENTAL SILENCE. THE AIM OF THIS STUDY WAS TO INVESTIGATE BRAIN REGIONS THAT ARE ASSOCIATED WITH THEIR VOLUME AND FUNCTIONAL CONNECTIVITY (FC) WITH THE DEPTH OF MENTAL SILENCE IN LONG-TERM PRACTITIONERS OF SAHAJA YOGA MEDITATION. TWENTY-THREE LONG-TERM PRACTITIONERS OF THIS MEDITATION WERE SCANNED USING MAGNETIC RESONANCE IMAGING. IN ORDER TO IDENTIFY THE NEURAL CORRELATES OF THE DEPTH OF MENTAL SILENCE, WE TESTED WHICH GRAY MATTER VOLUMES (GMV) WERE CORRELATED WITH THE DEPTH OF MENTAL SILENCE AND WHICH REGIONS THESE AREAS WERE FUNCTIONALLY CONNECTED TO UNDER A MEDITATION CONDITION. GMV IN MEDIAL PREFRONTAL CORTEX INCLUDING ROSTRAL ANTERIOR CINGULATE CORTEX WERE POSITIVELY CORRELATED WITH THE SUBJECTIVE PERCEPTION OF THE DEPTH OF MENTAL SILENCE INSIDE THE SCANNER. FURTHERMORE, THERE WAS SIGNIFICANTLY INCREASED FC BETWEEN THIS AREA AND BILATERAL ANTERIOR INSULA/PUTAMEN DURING A MEDITATION-STATE SPECIFICALLY, WHILE DECREASED CONNECTIVITY WITH THE RIGHT THALAMUS/PARAHIPPOCAMPAL GYRUS WAS PRESENT DURING THE MEDITATION-STATE AND THE RESTING-STATE. THE CAPACITY OF LONG-TERM MEDITATORS TO ESTABLISH A DURABLE STATE OF MENTAL SILENCE INSIDE AN MRI SCANNER WAS ASSOCIATED WITH LARGER GRAY MATTER VOLUME IN A MEDIAL FRONTAL REGION THAT IS CRUCIAL FOR TOP-DOWN COGNITIVE, EMOTION AND ATTENTION CONTROL. THIS IS FURTHERMORE CORROBORATED BY INCREASED FC OF THIS REGION DURING THE MEDITATION-STATE WITH BILATERAL ANTERIOR INSULA/PUTAMEN, WHICH ARE IMPORTANT FOR INTEROCEPTION, EMOTION, AND ATTENTION REGULATION. THE FINDINGS HENCE SUGGEST THAT THE DEPTH OF MENTAL SILENCE IS ASSOCIATED WITH MEDIAL FRONTO-INSULAR-STRIATAL NETWORKS THAT ARE CRUCIAL FOR TOP-DOWN ATTENTION AND EMOTIONAL CONTROL. 2018 2 1816 14 PROGRESSIVE OPTIC NEUROPATHY IN CONGENITAL GLAUCOMA ASSOCIATED WITH THE SIRSASANA YOGA POSTURE. THE AUTHORS DESCRIBE A CASE OF PROGRESSIVE OPTIC NEUROPATHY IN A PATIENT WITH CONGENITAL GLAUCOMA WHO HAD ROUTINELY PRACTICED THE SIRSASANA (HEADSTAND) YOGA POSTURE FOR SEVERAL YEARS. OPHTHALMIC EXAMINATION INCLUDED BEST-CORRECTED VISUAL ACUITY, ANTERIOR SEGMENT EXAMINATION, INDIRECT OPHTHALMOSCOPY, ULTRASOUND PACHYMETRY FOR CENTRAL CORNEAL THICKNESS, AND INTRAOCULAR PRESSURE BEFORE, DURING, AND AFTER MAINTAINING THE SIRSASANA POSTURE FOR 5 MINUTES. INTRAOCULAR PRESSURE INCREASED SIGNIFICANTLY DURING THE SIRSASANA POSTURE. TRANSIENT ELEVATION IN INTRAOCULAR PRESSURE DURING YOGA EXERCISES MAY LEAD TO PROGRESSIVE GLAUCOMATOUS OPTIC NEUROPATHY, ESPECIALLY IN SUSCEPTIBLE PATIENTS WITH CONGENITAL GLAUCOMA. 2008 3 1641 42 MONITORING THE NEURAL ACTIVITY OF THE STATE OF MENTAL SILENCE WHILE PRACTICING SAHAJA YOGA MEDITATION. OBJECTIVE: TO IDENTIFY THE NEURAL CORRELATES OF THE STATE OF MENTAL SILENCE AS EXPERIENCED THROUGH SAHAJA YOGA MEDITATION. DESIGN: NINETEEN EXPERIENCED MEDITATORS UNDERWENT FUNCTIONAL MAGNETIC RESONANCE IMAGING DURING THREE SHORT CONSECUTIVE MEDITATION PERIODS, CONTRASTED WITH A CONTROL RELAXATION CONDITION. RESULTS: RELATIVE TO BASELINE, AT THE BEGINNING OF THE MEDITATION SESSIONS THERE WAS A SIGNIFICANT INCREASE OF ACTIVATION IN BILATERAL INFERIOR FRONTAL AND TEMPORAL REGIONS. ACTIVATION BECAME PROGRESSIVELY MORE REDUCED WITH DEEPER MEDITATION STAGES AND IN THE LAST MEDITATION SESSION IT BECAME LOCALIZED TO THE RIGHT INFERIOR FRONTAL CORTEX/ RIGHT INSULA AND RIGHT MIDDLE/SUPERIOR TEMPORAL CORTEX. FURTHERMORE, RIGHT INFERIOR FRONTAL ACTIVATION WAS DIRECTLY ASSOCIATED WITH THE SUBJECTIVE DEPTH OF THE MENTAL SILENCE EXPERIENCE. CONCLUSIONS: MEDITATORS APPEAR TO PASS THROUGH AN INITIAL INTENSE NEURAL SELF-CONTROL PROCESS NECESSARY TO SILENCE THEIR MIND. AFTER THIS THEY EXPERIENCE RELATIVELY REDUCED BRAIN ACTIVATION CONCOMITANT WITH THE DEEPENING OF THE STATE OF MENTAL SILENCE OVER RIGHT INFERIOR FRONTAL CORTEX, PROBABLY REFLECTING AN EFFORTLESS PROCESS OF ATTENTIONAL CONTEMPLATION ASSOCIATED WITH THIS STATE. 2015 4 1498 25 INTRAOCULAR PRESSURE CHANGES AND OCULAR BIOMETRY DURING SIRSASANA (HEADSTAND POSTURE) IN YOGA PRACTITIONERS. PURPOSE: TO STUDY THE INTRAOCULAR PRESSURE (IOP) CHANGES IN SIRSASANA (HEADSTAND POSTURE) DONE BY EXPERIENCED YOGA PRACTITIONERS AND CORRELATE THE OCULAR BIOMETRIC PARAMETERS WITH THE IOP CHANGES, AND TO SCREEN FOR THE PREVALENCE OF OCULAR HYPERTENSION IN THIS GROUP OF SUBJECTS. DESIGN: PROSPECTIVE CASE OBSERVATIONAL SERIES. PARTICIPANTS: SEVENTY-FIVE SUBJECTS (50 ASIAN INDIANS AND 25 CAUCASIANS) FROM A YOGA TRAINING INSTITUTE VOLUNTEERED FOR THE STUDY. METHODS: ALL PARTICIPANTS UNDERWENT A DETAILED OPHTHALMIC EXAMINATION ALONG WITH OCULAR BIOMETRY AND CORNEAL PACHYMETRY. INTRAOCULAR PRESSURE WAS RECORDED USING A TONOPEN BEFORE, DURING, AND AFTER THE SIRSASANA. CHANGES WERE COMPARED USING THE PAIRED T TEST. AGE, AXIAL LENGTH, ANTERIOR CHAMBER DEPTH, LENS THICKNESS, CORNEAL CURVATURE, CORNEAL THICKNESS, RACE, AND THE LENGTH OF TIME FOR WHICH THE PRACTITIONER WAS PERFORMING YOGA WERE CORRELATED WITH THE INDUCED IOP DIFFERENCE IN A RANDOMLY SELECTED EYE USING PEARSON'S CORRELATION COEFFICIENT WITH BONFERRONI CORRECTION FOR MULTIPLE COMPARISONS. MAIN OUTCOME MEASURES: OCULAR BIOMETRY AND INDUCED IOP DIFFERENCE. RESULTS: THE MEAN INCREASE IN IOP AT BASELINE AND IMMEDIATELY AFTER ASSUMING SIRSASANA WAS 15.1+/-4.1 MMHG (R = 0.07; P = 0.999) AND AFTER 5 MINUTES WAS 15.8+/-4.6 MMHG (R = -0.25; P = 0.357). THE INDUCED INCREASE IN IOP DURING THE POSTURE WAS TWICE THE BASELINE IOP. THERE WAS NO CORRELATION BETWEEN AGE, OCULAR BIOMETRY, AND ULTRASOUND PACHYMETRY WHEN COMPARED WITH THE INDUCED IOP DIFFERENCE. ONE SUBJECT (1.33%) WAS FOUND TO HAVE BASELINE IOP OF MORE THAN 21 MMHG. CONCLUSION: THERE WAS A UNIFORM 2-FOLD INCREASE IN THE IOP DURING SIRSASANA, WHICH WAS MAINTAINED DURING THE POSTURE IN ALL AGE GROUPS IRRESPECTIVE OF THE OCULAR BIOMETRY AND ULTRASOUND PACHYMETRY. WE DID NOT DEMONSTRATE A HIGHER PREVALENCE OF OCULAR HYPERTENSIVES IN THIS COHORT OF YOGA PRACTITIONERS NOR DID THE RISK FACTORS CONTRIBUTING TO GLAUCOMA SHOW ANY CORRELATION WITH MAGNITUDE OF IOP RAISE DURING THE POSTURE. 2006 5 1439 42 INCREASED GREY MATTER ASSOCIATED WITH LONG-TERM SAHAJA YOGA MEDITATION: A VOXEL-BASED MORPHOMETRY STUDY. OBJECTIVES: TO INVESTIGATE REGIONAL DIFFERENCES IN GREY MATTER VOLUME ASSOCIATED WITH THE PRACTICE OF SAHAJA YOGA MEDITATION. DESIGN: TWENTY THREE EXPERIENCED PRACTITIONERS OF SAHAJA YOGA MEDITATION AND TWENTY THREE NON-MEDITATORS MATCHED ON AGE, GENDER AND EDUCATION LEVEL, WERE SCANNED USING STRUCTURAL MAGNETIC RESONANCE IMAGING AND THEIR GREY MATTER VOLUME WERE COMPARED USING VOXEL-BASED MORPHOMETRY. RESULTS: GREY MATTER VOLUME WAS LARGER IN MEDITATORS RELATIVE TO NON-MEDITATORS ACROSS THE WHOLE BRAIN. IN ADDITION, GREY MATTER VOLUME WAS LARGER IN SEVERAL PREDOMINANTLY RIGHT HEMISPHERIC REGIONS: IN INSULA, VENTROMEDIAL ORBITOFRONTAL CORTEX, INFERIOR TEMPORAL AND PARIETAL CORTICES AS WELL AS IN LEFT VENTROLATERAL PREFRONTAL CORTEX AND LEFT INSULA. NO AREAS WITH LARGER GREY MATTER VOLUME WERE FOUND IN NON-MEDITATORS RELATIVE TO MEDITATORS. CONCLUSIONS: THE STUDY SHOWS THAT LONG-TERM PRACTICE OF SAHAJA YOGA MEDITATION IS ASSOCIATED WITH LARGER GREY MATTER VOLUME OVERALL, AND WITH REGIONAL ENLARGEMENT IN SEVERAL RIGHT HEMISPHERIC CORTICAL AND SUBCORTICAL BRAIN REGIONS THAT ARE ASSOCIATED WITH SUSTAINED ATTENTION, SELF-CONTROL, COMPASSION AND INTEROCEPTIVE PERCEPTION. THE INCREASED GREY MATTER VOLUME IN THESE ATTENTION AND SELF-CONTROL MEDIATING REGIONS SUGGESTS USE-DEPENDENT ENLARGEMENT WITH REGULAR PRACTICE OF THIS MEDITATION. 2016 6 455 42 CHANGES IN NEURAL CONNECTIVITY AND MEMORY FOLLOWING A YOGA INTERVENTION FOR OLDER ADULTS: A PILOT STUDY. BACKGROUND: NO STUDY HAS EXPLORED THE EFFECT OF YOGA ON COGNITIVE DECLINE AND RESTING-STATE FUNCTIONAL CONNECTIVITY. OBJECTIVES: THIS STUDY EXPLORED THE RELATIONSHIP BETWEEN PERFORMANCE ON MEMORY TESTS AND RESTING-STATE FUNCTIONAL CONNECTIVITY BEFORE AND AFTER A YOGA INTERVENTION VERSUS ACTIVE CONTROL FOR SUBJECTS WITH MILD COGNITIVE IMPAIRMENT (MCI). METHODS: PARTICIPANTS ( >/= 55 Y) WITH MCI WERE RANDOMIZED TO RECEIVE A YOGA INTERVENTION OR ACTIVE "GOLD-STANDARD" CONTROL (I.E., MEMORY ENHANCEMENT TRAINING (MET)) FOR 12 WEEKS. RESTING-STATE FUNCTIONAL MAGNETIC RESONANCE IMAGING WAS USED TO MAP CORRELATIONS BETWEEN BRAIN NETWORKS AND MEMORY PERFORMANCE CHANGES OVER TIME. DEFAULT MODE NETWORKS (DMN), LANGUAGE AND SUPERIOR PARIETAL NETWORKS WERE CHOSEN AS NETWORKS OF INTEREST TO ANALYZE THE ASSOCIATION WITH CHANGES IN VERBAL AND VISUOSPATIAL MEMORY PERFORMANCE. RESULTS: FOURTEEN YOGA AND 11 MET PARTICIPANTS COMPLETED THE STUDY. THE YOGA GROUP DEMONSTRATED A STATISTICALLY SIGNIFICANT IMPROVEMENT IN DEPRESSION AND VISUOSPATIAL MEMORY. WE OBSERVED IMPROVED VERBAL MEMORY PERFORMANCE CORRELATED WITH INCREASED CONNECTIVITY BETWEEN THE DMN AND FRONTAL MEDIAL CORTEX, PREGENUAL ANTERIOR CINGULATE CORTEX, RIGHT MIDDLE FRONTAL CORTEX, POSTERIOR CINGULATE CORTEX, AND LEFT LATERAL OCCIPITAL CORTEX. IMPROVED VERBAL MEMORY PERFORMANCE POSITIVELY CORRELATED WITH INCREASED CONNECTIVITY BETWEEN THE LANGUAGE PROCESSING NETWORK AND THE LEFT INFERIOR FRONTAL GYRUS. IMPROVED VISUOSPATIAL MEMORY PERFORMANCE CORRELATED INVERSELY WITH CONNECTIVITY BETWEEN THE SUPERIOR PARIETAL NETWORK AND THE MEDIAL PARIETAL CORTEX. CONCLUSION: YOGA MAY BE AS EFFECTIVE AS MET IN IMPROVING FUNCTIONAL CONNECTIVITY IN RELATION TO VERBAL MEMORY PERFORMANCE. THESE FINDINGS SHOULD BE CONFIRMED IN LARGER PROSPECTIVE STUDIES. 2016 7 1948 20 SCAPULAR MUSCLE ACTIVITY DURING STATIC YOGA POSTURES. STUDY DESIGN CONTROLLED, CROSS-SECTIONAL LABORATORY STUDY. BACKGROUND DESPITE THE GROWING POPULARITY OF YOGA, LITTLE IS KNOWN ABOUT THE MUSCLE ACTIVITY OF THE SCAPULAR STABILIZERS DURING ISOMETRIC YOGA POSTURES AND THEIR POTENTIAL UTILITY IN SHOULDER REHABILITATION. OBJECTIVES TO EXAMINE SCAPULAR STABILIZER MUSCLE ACTIVATION DURING VARIOUS YOGA POSTURES. METHODS TWENTY WOMEN WITH YOGA EXPERIENCE AND NO SHOULDER PAIN OR INJURY PARTICIPATED. ELECTROMYOGRAPHY WAS USED TO RECORD THE MUSCLE ACTIVITY OF THE UPPER, MIDDLE, AND LOWER TRAPEZIUS, AS WELL AS OF THE SERRATUS ANTERIOR, DURING 15 YOGA POSTURES. RESULTS MUSCLE ACTIVITY VARIED BETWEEN YOGA POSTURES (3%-57% MAXIMUM VOLUNTARY ISOMETRIC CONTRACTION [MVIC]). OVERALL, THE "LOCUST ARMS FORWARD" POSTURE ELICITED THE HIGHEST ACTIVITY FROM THE UPPER (22.4% MVIC), MIDDLE (41.8% MVIC), AND LOWER (56.8% MVIC) TRAPEZIUS, WHILE SEVERAL POSTURES ELICITED MODERATE ACTIVITY (GREATER THAN 20% MVIC) FROM THE SERRATUS ANTERIOR. CONVERSELY, THE "DANCER'S POSE RIGHT," "REVERSE TABLETOP," AND "WARRIOR II" POSTURES DEMONSTRATED LOW ACTIVITY (LESS THAN OR EQUAL TO 15.7% MVIC) OF THE SCAPULAR STABILIZERS. CONCLUSION STRENGTHENING THE SCAPULAR STABILIZER MUSCLES IS AN IMPORTANT COMPONENT OF SHOULDER REHABILITATION. YOGA POSTURES HAVE BEEN IDENTIFIED THAT ACTIVATE THE SCAPULAR STABILIZER MUSCLES AT VARYING LEVELS OF ACTIVITY. J ORTHOP SPORTS PHYS THER 2018;48(6):504-509. EPUB 6 APR 2018. DOI:10.2519/JOSPT.2018.7311. 2018 8 1032 29 EFFECTS OF YOGA EXERCISES ON DIABETIC MELLITUS AS VALIDATED BY MAGNETIC RESONANCE IMAGING. CONTEXT AND AIMS: EFFECTS OF PRACTICING YOGA IN DIABETIC MELLITUS (DM) PATIENTS HAVE BEEN IDENTIFIED TO IMPROVE IN CONTROL OF BLOOD GLUCOSE LEVELS. THE PURPOSE OF THIS WORK IS TO EVALUATE CHANGES IN BLOOD FLOW OF CALF MUSCLES AFTER SPECIFIC YOGA POSTURES FOR PATIENTS WITH DM USING MAGNETIC RESONANCE IMAGING (MRI) TECHNIQUES. TIME OF FLIGHT (TOF) MAGNETIC RESONANCE ANGIOGRAPHY MAXIMUM INTENSITY PROJECTION (MIP), T1 MAPS, T2 MAPS, AND DIFFUSION-WEIGHTED IMAGING ARE PERFORMED ON VOLUNTEERS AND DM PATIENTS BOTH PRE- AND POST-EXERCISE. MATERIALS AND METHODS: TOF MIP, T1 MAPS WITH VARIABLE FLIP ANGLES, AND T2-WEIGHTED SPIN-ECHO IMAGING WERE PERFORMED ON FOUR VOLUNTEERS (AGED 30 +/- 5) AND DM PATIENTS (AGED 32-68) PREEXERCISE, ON A 1.5 T SIEMENS SCANNER. THE TOTAL ACQUISITION TIME WAS 6 MIN 20 S. EACH VOLUNTEER AND DM PATIENT WERE THEN REQUESTED TO PERFORM YOGA POSTURES SUPTA PADANGUSTHASANA, UTKATASANA, AND CALF RAISE FOR 6 MIN 30 S AT MAXIMUM EFFORT, OUTSIDE THE SCANNER, AND SUBSEQUENTLY RESCANNED. TO CALCULATE SIGNIFICANT SIGNAL INCREASE, REGION OF INTERESTS WAS DRAWN ON TOF MIP CORONAL IMAGES IN ARTERIES OF CALF MUSCLES. STUDENT T-TESTS WERE PERFORMED TO DETERMINE STATISTICAL SIGNIFICANCE. RESULTS: AMONG VOLUNTEERS, A SIGNIFICANT SIGNAL INCREASE IN ARTERIES OF CALF MUSCLES WAS NOTICED, SIGNAL INTENSITY GRAPHS WERE PLOTTED. IN DM PATIENTS, SIGNAL INCREASE IN TOF MIP, T2-WEIGHTED IMAGES WERE SEEN IN SPECIFIC ARTERIES (POSTERIOR, ANTERIOR TIBIAL, AND POSTERIOR TIBIAL) OF CALF MUSCLES POSTEXERCISE. DISCUSSION AND CONCLUSIONS: THE STUDY INDICATES THAT YOGA HAS A POSITIVE SHORT-TERM EFFECT ON MULTIPLE DM-RELATED FOOT COMPLICATIONS. THIS STUDY DEPICTS THAT MRI PROVIDES POTENTIAL INSIGHT INTO THE BENEFITS OF YOGA FOR DM PATIENTS THROUGH DERIVING BIOMARKERS FOR PREVENTIVE MEDICINE RELEVANT TO YOGA INTERCEPTION. 2021 9 1897 40 RESTING STATE FUNCTIONAL CONNECTIVITY ASSOCIATED WITH SAHAJA YOGA MEDITATION. NEUROSCIENCE RESEARCH HAS SHOWN THAT MEDITATION PRACTICES HAVE EFFECTS ON BRAIN STRUCTURE AND FUNCTION. HOWEVER, FEW STUDIES HAVE COMBINED INFORMATION ON THE EFFECTS ON STRUCTURE AND FUNCTION IN THE SAME SAMPLE. LONG-TERM DAILY MEDITATION PRACTICE PRODUCES REPEATED ACTIVITY OF SPECIFIC BRAIN NETWORKS OVER YEARS OF PRACTICE, WHICH MAY INDUCE LASTING STRUCTURAL AND FUNCTIONAL CONNECTIVITY (FC) CHANGES WITHIN RELEVANT CIRCUITS. THE AIM OF OUR STUDY WAS THEREFORE TO IDENTIFY DIFFERENCES IN FC DURING THE RESTING STATE BETWEEN 23 SAHAJA YOGA MEDITATION EXPERTS AND 23 HEALTHY PARTICIPANTS WITHOUT MEDITATION EXPERIENCE. SEED-BASED FC ANALYSIS WAS PERFORMED DEPARTING FROM VOXELS THAT HAD SHOWN STRUCTURAL DIFFERENCES BETWEEN THESE SAME PARTICIPANTS. THE CONTRAST OF CONNECTIVITY MAPS YIELDED THAT MEDITATORS SHOWED INCREASED FC BETWEEN THE LEFT VENTROLATERAL PREFRONTAL CORTEX AND THE RIGHT DORSOLATERAL PREFRONTAL CORTEX BUT REDUCED FC BETWEEN THE LEFT INSULA AND THE BILATERAL MID-CINGULATE AS WELL AS BETWEEN THE RIGHT ANGULAR GYRUS AND THE BILATERAL PRECUNEUS/CUNEUS CORTICES. IT THUS APPEARS THAT LONG-TERM MEDITATION PRACTICE INCREASES DIRECT FC BETWEEN VENTRAL AND DORSAL FRONTAL REGIONS WITHIN BRAIN NETWORKS RELATED TO ATTENTION AND COGNITIVE CONTROL AND DECREASES FC BETWEEN REGIONS OF THESE NETWORKS AND AREAS OF THE DEFAULT MODE NETWORK. 2021 10 1813 16 PROGRESSION OF GLAUCOMA ASSOCIATED WITH THE SIRSASANA (HEADSTAND) YOGA POSTURE. THIS ARTICLE REPORTS A CASE OF PROGRESSIVE GLAUCOMATOUS OPTIC NEUROPATHY AND VISUAL FIELD LOSS THAT OCCURRED IN A PATIENT WHO PRACTICED THE SIRSASANA (HEADSTAND) YOGA POSTURE ON A DAILY BASIS FOR MANY YEARS. VISUAL FIELD ANALYSIS WAS PERFORMED THROUGH STANDARD AUTOMATED PERIMETRY. INTRAOCULAR PRESSURE (IOP) WAS MEASURED THROUGH PNEUMOTONOMETRY IN THE SITTING POSITION AND IN THE HEAD-DOWN POSITION. STEREO-OPTIC DISC PHOTOGRAPHS WERE OBTAINED. IOP INCREASED SIGNIFICANTLY IN THE HEAD-DOWN POSITION. OPTIC DISC EVALUATION REVEALED A NEW DISC HEMORRHAGE IN THE LEFT EYE. VISUAL FIELD ANALYSIS OVER A PERIOD OF 2 Y SHOWED PROGRESSION OF A SUPERIOR ARCUATE DEFECT IN THE LEFT EYE. TRANSIENT INCREASES IN IOP ASSOCIATED WITH THE YOGA HEADSTAND POSTURE MAY LEAD TO PROGRESSIVE GLAUCOMATOUS OPTIC NERVE DAMAGE AND VISUAL FIELD LOSS. 2006 11 58 20 A COMPARISON OF EMG OUTPUT OF FOUR LOWER EXTREMITY MUSCLES DURING SELECTED YOGA POSTURES. THE PURPOSE OF THIS STUDY WAS TO USE SURFACE ELECTROMYOGRAPHY (EMG) ANALYSIS TO EXAMINE THE MUSCLE ACTIVATION OF THE ANTERIOR TIBIALIS (TA), GASTROCNEMIUS (GA), RECTUS FEMORIS (RF) AND BICEPS FEMORIS (BF) MUSCLES DURING SEVERAL YOGA POSES: TREE POSE (VRKSASHANA), HALF MOON POSE (ARDHA CHANDRASANA) AND WARRIOR III (VIRABADRASANA) WHEN COMPARED TO A REST POSE (MOUNTAIN POSE). TEN HEALTHY FEMALES WITH MORE THAN 3 MONTHS OF CONTINUOUS YOGA EXPERIENCE WHO PRACTICED AT LEAST 1.5H PER WEEK WERE RECRUITED. EMG ACTIVITY WAS RECORDED FROM THE AFOREMENTIONED MUSCLES DURING MOUNTAIN POSE ("REST") FOR 30S, THREE TIMES. SUBJECTS THEN PERFORMED THE FOLLOWING YOGA POSES IN A RANDOMIZED SEQUENCE WHILE SURFACE EMG ACTIVITY WAS RECORDED: TREE POSE, HALF-MOON, AND WARRIOR III. EACH POSE WAS HELD FOR 20S TO 30S AND PERFORMED THREE TIMES. EMG DATA WERE BAND PASS FILTERED AND THE ROOT MEAN SQUARE (RMS) WAS OBTAINED. THE PEAK RMS OF EACH OF THE RESTING TRIALS WAS OBTAINED AND AVERAGED TO PRODUCE AN AVERAGE PEAK RESTING RMS VALUE. THE STUDY REVEALED SIGNIFICANTLY GREATER EMG ACTIVITY IN TA AND GA IN ALL THREE POSES WHEN COMPARED TO BF AND RF. BF PRODUCED GREATER EMG ACTIVITY THAN RF IN WARRIOR III. IN CONCLUSION, SINGLE LIMB YOGA POSES REQUIRE INCREASED USE OF THE ANKLE MUSCULATURE WHEN COMPARED TO THIGH MUSCULATURE. 2019 12 1546 15 LATE ANTERIOR PROSTHETIC HIP DISLOCATION DUE TO YOGA. THE POPULARITY OF YOGA AND THE PREVALENCE OF TOTAL HIP ARTHROPLASTY (THA) HAVE SIMULTANEOUSLY INCREASED IN THE UNITED STATES. ACCORDINGLY, ONE CAN ASSUME THAT THE NUMBER OF THA PATIENTS PRACTICING YOGA HAS INCREASED. CERTAIN YOGA POSES REACH THE EXTREMES OF HIP RANGE OF MOTION, POTENTIALLY LEAVING PATIENTS VULNERABLE TO DISLOCATION. TO DATE, 2 CASES OF LATE POSTERIOR PROSTHETIC HIP DISLOCATIONS DURING YOGA HAVE BEEN REPORTED; HOWEVER, THERE HAVE BEEN NO REPORTS OF ANTERIOR PROSTHETIC HIP DISLOCATIONS. WE PRESENT ONE CASE OF LATE ANTERIOR PROSTHETIC HIP DISLOCATION DURING YOGA IN A PATIENT WHO UNDERWENT THA VIA THE DIRECT ANTERIOR APPROACH. PROSTHETIC HIP DISLOCATION DURING YOGA MAY BE A GROWING CONCERN. WE PROVIDE ADDITIONAL EVIDENCE IN SUPPORT OF RECOMMENDATIONS FOR THA PATIENTS TO SAFELY PRACTICE YOGA. 2021 13 1565 31 LOW AND THEN HIGH FREQUENCY OSCILLATIONS OF DISTINCT RIGHT CORTICAL NETWORKS ARE PROGRESSIVELY ENHANCED BY MEDIUM AND LONG TERM SATYANANDA YOGA MEDITATION PRACTICE. MEDITATION PROFICIENCY IS RELATED TO TRAIT-LIKE (LEARNED) EFFECTS ON BRAIN FUNCTION, DEVELOPED OVER TIME. PREVIOUS STUDIES SHOW INCREASES IN EEG POWER IN LOWER FREQUENCY BANDS (THETA, ALPHA) IN EXPERIENCED MEDITATORS IN BOTH MEDITATION STATES AND BASELINE CONDITIONS. HIGHER GAMMA BAND POWER HAS BEEN FOUND IN ADVANCED BUDDHIST MEDITATORS, YET IT IS NOT KNOWN IF THIS OCCURS IN YOGA MEDITATION PRACTICES. THIS STUDY USED ELORETA TO COMPARE DIFFERENCES IN CORTICAL SOURCE ACTIVITY UNDERLYING SCALP EEG FROM INTERMEDIATE (MEAN EXPERIENCE 4 YEARS) AND ADVANCED (MEAN EXPERIENCE 30 YEARS) AUSTRALIAN MEDITATORS FROM THE SATYANANDA YOGA TRADITION DURING A BODY-STEADINESS MEDITATION, MANTRA MEDITATION, AND NON-MEDITATION MENTAL CALCULATION CONDITION. INTERMEDIATE YOGA MEDITATORS SHOWED GREATER SOURCE ACTIVITY IN LOW FREQUENCIES (PARTICULARLY THETA AND ALPHA1) DURING MENTAL CALCULATION, BODY-STEADINESS AND MANTRA MEDITATION. A SIMILAR SPATIAL PATTERN OF SIGNIFICANT DIFFERENCES WAS FOUND IN ALL CONDITIONS BUT THE NUMBER OF SIGNIFICANT VOXELS WAS DOUBLE DURING BODY-STEADINESS AND MANTRA MEDITATION THAN IN THE NON-MEDITATION (CALCULATION) CONDITION. THESE DIFFERENCES WERE GREATEST IN RIGHT (R) SUPERIOR FRONTAL AND R PRECENTRAL GYRI AND EXTENDED BACK TO INCLUDE THE R PARIETAL AND OCCIPITAL LOBES. ADVANCED YOGA MEDITATORS SHOWED GREATER ACTIVITY IN HIGH FREQUENCIES (BETA AND ESPECIALLY GAMMA) IN ALL CONDITIONS BUT GREATLY EXPANDED DURING MEDITATION PRACTICE. ACROSS ALL CONDITIONS (MEDITATION AND NON-MEDITATION) DIFFERENCES WERE GREATEST IN THE SAME REGIONS: R INSULA, R INFERIOR FRONTAL GYRUS AND R ANTERIOR TEMPORAL LOBE. DISTINCT R CORE NETWORKS WERE IDENTIFIED IN ALPHA1 (8-10 HZ) AND GAMMA (25-42 HZ) BANDS, RESPECTIVELY. THE VOXELS RECRUITED TO THESE NETWORKS GREATLY EXPANDED DURING MEDITATION PRACTICE TO INCLUDE HOMOLOGOUS REGIONS OF THE LEFT HEMISPHERE. FUNCTIONAL INTERPRETATION PARALLELS TRADITIONALLY DESCRIBED STAGES OF DEVELOPMENT IN YOGA PROFICIENCY. 2014 14 1288 35 GREATER CORTICAL THICKNESS IN ELDERLY FEMALE YOGA PRACTITIONERS-A CROSS-SECTIONAL STUDY. YOGA, A MIND-BODY ACTIVITY THAT REQUIRES ATTENTIONAL ENGAGEMENT, HAS BEEN ASSOCIATED WITH POSITIVE CHANGES IN BRAIN STRUCTURE AND FUNCTION, ESPECIALLY IN AREAS RELATED TO AWARENESS, ATTENTION, EXECUTIVE FUNCTIONS AND MEMORY. NORMAL AGING, ON THE OTHER HAND, HAS ALSO BEEN ASSOCIATED WITH STRUCTURAL AND FUNCTIONAL BRAIN CHANGES, BUT THESE GENERALLY INVOLVE DECREASED COGNITIVE FUNCTIONS. THE AIM OF THIS CROSS-SECTIONAL STUDY WAS TO COMPARE BRAIN CORTICAL THICKNESS (CT) IN ELDERLY YOGA PRACTITIONERS AND A GROUP OF AGE-MATCHED HEALTHY NON-PRACTITIONERS. WE TESTED 21 OLDER WOMEN WHO HAD PRACTICED HATHA YOGA FOR AT LEAST 8 YEARS AND 21 WOMEN NAIVE TO YOGA, MEDITATION OR ANY MIND-BODY INTERVENTIONS WHO WERE MATCHED TO THE FIRST GROUP IN AGE, YEARS OF FORMAL EDUCATION AND PHYSICAL ACTIVITY LEVEL. A T1-WEIGHTED MPRAGE SEQUENCE WAS ACQUIRED FOR EACH PARTICIPANT. YOGA PRACTITIONERS SHOWED SIGNIFICANTLY GREATER CT IN A LEFT PREFRONTAL LOBE CLUSTER, WHICH INCLUDED PORTIONS OF THE LATERAL MIDDLE FRONTAL GYRUS, ANTERIOR SUPERIOR FRONTAL GYRUS AND DORSAL SUPERIOR FRONTAL GYRUS. WE FOUND GREATER CT IN THE LEFT PREFRONTAL CORTEX OF HEALTHY ELDERLY WOMEN WHO TRAINED YOGA FOR A MINIMUM OF 8 YEARS COMPARED WITH WOMEN IN THE CONTROL GROUP. 2017 15 1545 49 LARGER WHOLE BRAIN GREY MATTER ASSOCIATED WITH LONG-TERM SAHAJA YOGA MEDITATION: A DETAILED AREA BY AREA COMPARISON. OBJECTIVES: OUR PREVIOUS STUDY SHOWED THAT LONG-TERM PRACTITIONERS OF SAHAJA YOGA MEDITATION (SYM) HAD AROUND 7% LARGER GREY MATTER VOLUME (GMV) IN THE WHOLE BRAIN COMPARED WITH HEALTHY CONTROLS; HOWEVER, WHEN TESTING INDIVIDUAL REGIONS, ONLY 5 SMALL BRAIN AREAS WERE STATISTICALLY DIFFERENT BETWEEN GROUPS. UNDER THE HYPOTHESIS THAT THOSE RESULTS WERE STATISTICALLY CONSERVATIVE, WITH THE SAME DATASET, WE INVESTIGATED IN MORE DETAIL THE REGIONAL DIFFERENCES IN GMV ASSOCIATED WITH THE PRACTICE OF SYM, WITH A DIFFERENT STATISTICAL APPROACH. DESIGN: TWENTY-THREE EXPERIENCED PRACTITIONERS OF SYM AND 23 HEALTHY NON-MEDITATORS MATCHED ON AGE, SEX AND EDUCATION LEVEL, WERE SCANNED USING STRUCTURAL MAGNETIC RESONANCE IMAGING (MRI). THEIR GMV WERE EXTRACTED AND COMPARED USING VOXEL-BASED MORPHOMETRY (VBM). USING A NOVEL AD-HOC GENERAL LINEAR MODEL, STATISTICAL COMPARISONS WERE MADE TO OBSERVE IF THE GMV DIFFERENCES BETWEEN MEDITATORS AND CONTROLS WERE STATISTICALLY SIGNIFICANT. RESULTS: IN THE 16 LOBE AREA SUBDIVISIONS, GMV WAS STATISTICALLY SIGNIFICANTLY DIFFERENT IN 4 OUT OF 16 AREAS: IN RIGHT HEMISPHERIC TEMPORAL AND FRONTAL LOBES, LEFT FRONTAL LOBE AND BRAINSTEM. IN THE 116 AAL AREA SUBDIVISIONS, GMV DIFFERENCE WAS STATISTICALLY SIGNIFICANT IN 11 AREAS. THE GMV DIFFERENCES WERE STATISTICALLY MORE SIGNIFICANT IN RIGHT HEMISPHERIC BRAIN AREAS. CONCLUSIONS: THE STUDY SHOWS THAT LONG-TERM PRACTICE OF SYM IS ASSOCIATED WITH LARGER GMV OVERALL, AND WITH SIGNIFICANT DIFFERENCES MAINLY IN TEMPORAL AND FRONTAL AREAS OF THE RIGHT HEMISPHERE AND THE BRAINSTEM. THESE NEUROPLASTIC CHANGES MAY REFLECT EMOTIONAL AND ATTENTIONAL CONTROL MECHANISMS DEVELOPED WITH SYM. ON THE OTHER HAND, OUR STATISTICAL AD-HOC METHOD SHOWS THAT THERE WERE MORE BRAIN AREAS WITH STATISTICAL SIGNIFICANCE COMPARED TO THE TRADITIONAL METHODOLOGY WHICH WE THINK IS SUSCEPTIBLE TO CONSERVATIVE TYPE II ERRORS. 2020 16 1990 25 SPINAL CURVATURES OF YOGA PRACTITIONERS COMPARED TO CONTROL PARTICIPANTS-A CROSS-SECTIONAL STUDY. PURPOSE: THE ANGLES OF THORACIC KYPHOSIS AND LUMBAR LORDOSIS DETERMINE THE SPINAL ALIGNMENT IN THE SAGITTAL PLANE. THE AIM OF THIS STUDY WAS TO COMPARE THE THORACIC KYPHOSIS AND LUMBAR LORDOSIS OF MALE AND FEMALE YOGA PRACTITIONERS WITH NON-PRACTICING PARTICIPANTS AND TO DETERMINE THE POSSIBLE DEPENDENCIES BETWEEN SAGITTAL SPINAL CURVATURES AND SOMATIC PARAMETERS, TIME SPENT ON YOGA EXERCISE, AND UNDERTAKING OTHER PHYSICAL ACTIVITIES IN YOGA PRACTITIONERS. METHODS: THE STUDY INVOLVED 576 WOMEN AND 91 MEN AGES 18-68 YEARS (MEAN = 38.5 +/- 9) WHO WERE PRACTICING YOGA, AND 402 WOMEN AND 176 MEN AGES 18-30 YEARS (MEAN = 20.2 +/- 1.3) AS A CONTROL GROUP. THE ANGLES OF THORACIC KYPHOSIS AND LUMBAR LORDOSIS WERE MEASURED USING A PLURIMETER-V GRAVITY INCLINOMETER. RESULTS: THE TWO-WAY ANOVA DEMONSTRATED THE INFLUENCE OF GROUP (P < .0001) AND SEX (P = .03) ON THE ANGLE OF THORACIC KYPHOSIS, AS WELL AS THE INFLUENCE OF GROUP (P < .0001) AND SEX (P < .0001) ON THE ANGLE OF LUMBAR LORDOSIS. IT WAS NOTED THAT YOGA PRACTITIONERS HAD LESS PRONOUNCED THORACIC KYPHOSIS AND LUMBAR LORDOSIS AND WERE MORE OFTEN CHARACTERIZED BY NORMAL OR SMALLER THORACIC KYPHOSIS AND LUMBAR LORDOSIS THAN STUDENTS FROM THE CONTROL GROUP. IN YOGA PRACTITIONERS, THE ANGLE OF THORACIC KYPHOSIS WAS POSITIVELY CORRELATED WITH AGE, BODY MASS, BMI, AND UNDERTAKING OTHER FORMS OF PHYSICAL ACTIVITY. THE ANGLE OF LUMBAR LORDOSIS WAS NEGATIVELY CORRELATED WITH BODY HEIGHT AND BODY MASS. CONCLUSIONS: THE RESULTS SUGGEST THAT YOGA EXERCISES CAN AFFECT THE SHAPE OF THE ANTERIOR-POSTERIOR CURVES OF THE SPINE AND MAY BE AN EFFICIENT TRAINING METHOD FOR SHAPING PROPER POSTURE IN ADULTS. 2021 17 1098 41 EFFECTS OF YOGA RESPIRATORY PRACTICE (BHASTRIKA PRANAYAMA) ON ANXIETY, AFFECT, AND BRAIN FUNCTIONAL CONNECTIVITY AND ACTIVITY: A RANDOMIZED CONTROLLED TRIAL. PRANAYAMA REFERS TO A SET OF YOGA BREATHING EXERCISES. RECENT EVIDENCE SUGGESTS THAT THE PRACTICE OF PRANAYAMA HAS POSITIVE EFFECTS ON MEASURES OF CLINICAL STRESS AND ANXIETY. THIS STUDY EXPLORED THE IMPACT OF A BHASTRIKA PRANAYAMA TRAINING PROGRAM ON EMOTION PROCESSING, ANXIETY, AND AFFECT. WE USED A RANDOMIZED CONTROLLED TRIAL DESIGN WITH THIRTY HEALTHY YOUNG ADULTS ASSESSED AT BASELINE AND AFTER 4 WEEKS OF PRANAYAMA PRACTICES. TWO FUNCTIONAL MAGNETIC RESONANCE IMAGING (MRI) PROTOCOLS WERE USED BOTH AT BASELINE AND POST-INTERVENTION: AN EMOTION TASK AS WELL AS A RESTING-STATE ACQUISITION. OUR RESULTS SUGGEST THAT PRANAYAMA SIGNIFICANTLY DECREASED STATES OF ANXIETY AND NEGATIVE AFFECT. THE PRACTICE OF PRANAYAMA ALSO MODULATED THE ACTIVITY OF BRAIN REGIONS INVOLVED IN EMOTIONAL PROCESSING, PARTICULARLY THE AMYGDALA, ANTERIOR CINGULATE, ANTERIOR INSULA, AND PREFRONTAL CORTEX. RESTING-STATE FUNCTIONAL MRI (FMRI) SHOWED SIGNIFICANTLY REDUCED FUNCTIONAL CONNECTIVITY INVOLVING THE ANTERIOR INSULA AND LATERAL PORTIONS OF THE PREFRONTAL CORTEX. CORRELATION ANALYSIS REVEALED THAT CHANGES IN CONNECTIVITY BETWEEN THE VENTROLATERAL PREFRONTAL CORTEX AND THE RIGHT ANTERIOR INSULA WERE ASSOCIATED WITH CHANGES IN ANXIETY. ALTHOUGH IT SHOULD BE NOTED THAT THESE ANALYSES WERE PRELIMINARY AND EXPLORATORY, IT PROVIDES THE FIRST EVIDENCE THAT 4 WEEKS OF B. PRANAYAMA SIGNIFICANTLY REDUCE THE LEVELS OF ANXIETY AND NEGATIVE AFFECT, AND THAT THESE CHANGES ARE ASSOCIATED WITH THE MODULATION OF ACTIVITY AND CONNECTIVITY IN BRAIN AREAS INVOLVED IN EMOTION PROCESSING, ATTENTION, AND AWARENESS. THE STUDY WAS REGISTERED AT HTTPS://WWW.ENSAIOSCLINICOS.GOV.BR/RG/RBR-2GV5C2/(RBR-2GV5C2). 2020 18 1667 41 NEUROCHEMICAL AND NEUROANATOMICAL PLASTICITY FOLLOWING MEMORY TRAINING AND YOGA INTERVENTIONS IN OLDER ADULTS WITH MILD COGNITIVE IMPAIRMENT. BEHAVIORAL INTERVENTIONS ARE BECOMING INCREASINGLY POPULAR APPROACHES TO AMELIORATE AGE-RELATED COGNITIVE DECLINE, BUT THEIR UNDERLYING NEUROBIOLOGICAL MECHANISMS AND CLINICAL EFFICIENCY HAVE NOT BEEN FULLY ELUCIDATED. THE PRESENT STUDY EXPLORED BRAIN PLASTICITY ASSOCIATED WITH TWO BEHAVIORAL INTERVENTIONS, MEMORY ENHANCEMENT TRAINING (MET) AND A MIND-BODY PRACTICE (YOGIC MEDITATION), IN HEALTHY SENIORS WITH MILD COGNITIVE IMPAIRMENT (MCI) USING STRUCTURAL MAGNETIC RESONANCE IMAGING (S-MRI) AND PROTON MAGNETIC RESONANCE SPECTROSCOPY ((1)H-MRS). SENIOR PARTICIPANTS (AGE >/=55 YEARS) WITH MCI WERE RANDOMIZED TO THE MET OR YOGIC MEDITATION INTERVENTIONS. FOR BOTH INTERVENTIONS, PARTICIPANTS COMPLETED EITHER MET TRAINING OR KUNDALINI YOGA (KY) FOR 60-MIN SESSIONS OVER 12 WEEKS, WITH 12-MIN DAILY HOMEWORK ASSIGNMENTS. GRAY MATTER VOLUME AND METABOLITE CONCENTRATIONS IN THE DORSAL ANTERIOR CINGULATE CORTEX (DACC) AND BILATERAL HIPPOCAMPUS WERE MEASURED BY STRUCTURAL MRI AND (1)H-MRS AT BASELINE AND AFTER 12 WEEKS OF TRAINING. METABOLITES MEASURED INCLUDED GLUTAMATE-GLUTAMINE (GLX), CHOLINE-CONTAINING COMPOUNDS (CHO, INCLUDING GLYCEROPHOSPHOCHOLINE AND PHOSPHOCHOLINE), GAMMA-AMINOBUTYRIC ACID (GABA), AND N-ACETYL ASPARTATE AND N-ACETYLASPARTYL-GLUTAMATE (NAA-NAAG). IN TOTAL, 11 PARTICIPANTS COMPLETED MET AND 14 COMPLETED YOGIC MEDITATION FOR THIS STUDY. STRUCTURAL MRI ANALYSIS SHOWED AN INTERACTION BETWEEN TIME AND GROUP IN DACC, INDICATING A TREND TOWARDS INCREASED GRAY MATTER VOLUME AFTER THE MET INTERVENTION. (1)H-MRS ANALYSIS SHOWED AN INTERACTION BETWEEN TIME AND GROUP IN CHOLINE-CONTAINING COMPOUNDS IN BILATERAL HIPPOCAMPUS, INDUCED BY SIGNIFICANT DECREASES AFTER THE MET INTERVENTION. THOUGH PRELIMINARY, OUR RESULTS SUGGEST THAT MEMORY TRAINING INDUCES STRUCTURAL AND NEUROCHEMICAL PLASTICITY IN SENIORS WITH MCI. FURTHER RESEARCH IS NEEDED TO DETERMINE WHETHER MIND-BODY INTERVENTIONS LIKE YOGA YIELD SIMILAR NEUROPLASTIC CHANGES. 2016 19 443 24 CERVICAL ARTERIAL DISSECTION AND TRAUMATIC MYELOPATHY FOLLOWING YOGA: SURGICAL CASE REPORT. INTRODUCTION: CERVICAL SPONDYLOSIS CAN PREDISPOSE PATIENTS TO CENTRAL CANAL STENOSIS. IN THIS SETTING, MYELOPATHY THROUGH FURTHER FLATTENING OF THE CORD FROM EXTRINSIC COMPRESSION CAN BE PRECIPITATED BY RELATIVELY MINOR TRAUMAS. ARTERIAL DISSECTION IS SIMILARLY CONSIDERED A RESULT OF HIGH VELOCITY OR MOMENTUM DURING TRAUMA, COMMONLY ASSOCIATED WITH FRACTURES, CERVICAL HYPERFLEXION, OR DIRECT BLUNT FORCE TO THE NECK. OVERALL, PRECAUTIONS FOR BOTH ARTERIAL DISSECTION AND MYELOPATHY ARE RARELY CONSIDERED IN LOW-VELOCITY, STATIC ACTIVITIES SUCH AS YOGA. CASE PRESENTATION: THE AUTHORS REPORT THE CASE OF A 63-YEAR-OLD MAN WHO SUFFERED CONCURRENT CERVICAL MYELOPATHY FROM MULTILEVEL SPONDYLOPATHY, RIGHT VERTEBRAL ARTERY DISSECTION, AND LEFT CERVICAL CAROTID ARTERY DISSECTION FOLLOWING A YOGA SESSION. SYMPTOMATOLOGY CONSISTED OF ACUTE ONSET NECK PAIN, UPPER EXTREMITY SENSORY PARESTHESIA, WORSENING GAIT AND BALANCE, AND IMPAIRED DEXTERITY FOR SEVERAL WEEKS. CERVICAL MRI WAS OBTAINED GIVEN MYELOPATHIC SYMPTOMS AND REVEALED SPONDYLOSIS WITH COMPRESSION AND T2 SIGNAL CHANGE AT C3-C4. CT ANGIOGRAPHY OF THE NECK REVEALED AFOREMENTIONED DISSECTIONS WITHOUT FLOW LIMITING STENOSIS OR OCCLUSION. A THERAPEUTIC HEPARIN INFUSION WAS STARTED PREOPERATIVELY UNTIL THE PATIENT UNDERWENT C3-C4 ANTERIOR CERVICAL DISCECTOMY AND FUSION. ASPIRIN AND PLAVIX WERE THEN STARTED WITHOUT INCIDENCE AND THE PATIENT HAD SIGNIFICANT BUT GRADUAL IMPROVEMENT IN MYELOPATHIC SYMPTOMS AT 6-WEEK FOLLOW-UP. DISCUSSION: THE STATIC YET INTENSIVE POSES ASSOCIATED WITH YOGA PRESENT A RARE ETIOLOGY FOR ARTERIAL DISSECTION AND MYELOPATHY, BUT PATIENTS WITH PERSISTENT AND PROGRESSIVE SYMPTOMS SHOULD BE SCREENED WITH THE APPROPRIATE IMAGING MODALITY. CERVICAL DECOMPRESSION SHOULD BE EXPEDITED BEFORE INITIATING AN ANTIPLATELET MEDICATION. 2022 20 1496 35 INTRACEREBRAL PAIN PROCESSING IN A YOGA MASTER WHO CLAIMS NOT TO FEEL PAIN DURING MEDITATION. WE RECORDED MAGNETOENCEPHALOGRAPHY (MEG) AND FUNCTIONAL MAGNETIC RESONANCE IMAGING (FMRI) FOLLOWING NOXIOUS LASER STIMULATION IN A YOGA MASTER WHO CLAIMS NOT TO FEEL PAIN WHEN MEDITATING. AS FOR BACKGROUND MEG ACTIVITY, THE POWER OF ALPHA FREQUENCY BANDS PEAKING AT AROUND 10 HZ WAS MUCH INCREASED DURING MEDITATION OVER OCCIPITAL, PARIETAL AND TEMPORAL REGIONS, WHEN COMPARED WITH THE NON-MEDITATIVE STATE, WHICH MIGHT MEAN THE SUBJECT WAS VERY RELAXED, THOUGH HE DID NOT FALL ASLEEP, DURING MEDITATION. PRIMARY PAIN-RELATED CORTICAL ACTIVITIES RECORDED FROM PRIMARY (SI) AND SECONDARY SOMATOSENSORY CORTICES (SII) BY MEG WERE VERY WEAK OR ABSENT DURING MEDITATION. AS FOR FMRI RECORDING, THERE WERE REMARKABLE CHANGES IN LEVELS OF ACTIVITY IN THE THALAMUS, SII-INSULA (MAINLY THE INSULA) AND CINGULATE CORTEX BETWEEN MEDITATION AND NON-MEDITATION. ACTIVITIES IN ALL THREE REGIONS WERE INCREASED DURING NON-MEDITATION, SIMILAR TO RESULTS IN NORMAL SUBJECTS. IN CONTRAST, ACTIVITIES IN ALL THREE REGIONS WERE WEAKER DURING MEDITATION, AND THE LEVEL WAS LOWER THAN THE BASELINE IN THE THALAMUS. RECENT NEUROIMAGING AND ELECTROPHYSIOLOGICAL STUDIES HAVE CLARIFIED THAT THE EMOTIONAL ASPECT OF PAIN PERCEPTION MAINLY INVOLVES THE INSULA AND CINGULATE CORTEX. THOUGH WE CANNOT CLEARLY EXPLAIN THIS UNUSUAL CONDITION IN THE YOGA MASTER, A CHANGE OF MULTIPLE REGIONS RELATING TO PAIN PERCEPTION COULD BE RESPONSIBLE, SINCE PAIN IS A COMPLEX SENSORY AND EMOTIONAL EXPERIENCE. 2005