1 1816 60 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 2 1813 30 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 3 1498 29 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 4 1499 22 INTRAOCULAR PRESSURE RISE IN SUBJECTS WITH AND WITHOUT GLAUCOMA DURING FOUR COMMON YOGA POSITIONS. PURPOSE: TO MEASURE CHANGES IN INTRAOCULAR PRESSURE (IOP) IN ASSOCIATION WITH YOGA EXERCISES WITH A HEAD-DOWN POSITION. METHODS: THE SINGLE CENTER, PROSPECTIVE, OBSERVATIONAL STUDY INCLUDED 10 SUBJECTS WITH PRIMARY OPEN-ANGLE GLAUCOMA AND 10 NORMAL INDIVIDUALS, WHO PERFORMED THE YOGA EXERCISES OF ADHO MUKHA SVANASANA, UTTANASANA, HALASANA AND VIPARITA KARANI FOR TWO MINUTES EACH. IOP WAS MEASURED BY PNEUMATONOMETRY AT BASELINE AND DURING AND AFTER THE EXERCISES. RESULTS: ALL YOGA POSES WERE ASSOCIATED WITH A SIGNIFICANT (P < 0.01) RISE IN IOP WITHIN ONE MINUTE AFTER ASSUMING THE YOGA POSITION. THE HIGHEST IOP INCREASE (P < 0.01) WAS MEASURED IN THE ADHO MUKHA SVANASANA POSITION (IOP INCREASE FROM 17 +/- 3.2 MMHG TO 28 +/- 3.8 MMHG IN GLAUCOMA PATIENTS; FROM 17 +/- 2.8 MMHG TO 29 +/- 3.9 MMHG IN NORMAL INDIVIDUALS), FOLLOWED BY THE UTTANASANA POSITION (17 +/- 3.9 MMHG TO 27 +/- 3.4 MMHG (GLAUCOMA PATIENTS) AND FROM 18 +/- 2.5 MMHG TO 26 +/- 3.6 MMHG NORMAL INDIVIDUALS)), THE HALASANA POSITION (18 +/- 2.8 MMHG TO 24 +/- 3.5 MMHG (GLAUCOMA PATIENTS); 18 +/- 2.7 MMHG TO 22 +/- 3.4 MMHG (NORMAL INDIVIDUALS)), AND FINALLY THE VIPARITA KIRANI POSITION (17 +/- 4 MMHG TO 21 +/- 3.6 MMHG (GLAUCOMA PATIENTS); 17 +/- 2.8 TO 21 +/- 2.4 MMHG (NORMAL INDIVIDUALS)). IOP DROPPED BACK TO BASELINE VALUES WITHIN TWO MINUTES AFTER RETURNING TO A SITTING POSITION. OVERALL, IOP RISE WAS NOT SIGNIFICANTLY DIFFERENT BETWEEN GLAUCOMA AND NORMAL SUBJECTS (P = 0.813), ALL THOUGH GLAUCOMA EYES TENDED TO HAVE MEASUREMENTS 2 MM HG HIGHER ON AVERAGE. CONCLUSIONS: YOGA EXERCISES WITH HEAD-DOWN POSITIONS WERE ASSOCIATED WITH A RAPID RISE IN IOP IN GLAUCOMA AND HEALTHY EYES. IOP RETURNED TO BASELINE VALUES WITHIN 2 MINUTES. FUTURE STUDIES ARE WARRANTED ADDRESSING WHETHER YOGA EXERCISE ASSOCIATED IOP CHANGES ARE ASSOCIATED WITH SIMILAR CHANGES IN CEREBROSPINAL FLUID PRESSURE AND WHETHER THEY INCREASE THE RISK OF GLAUCOMA PROGRESSION. TRIAL REGISTRATION: CLINICALTRIALS.GOV #NCT01915680. 2015 5 892 15 EFFECT OF YOGA-BASED OCULAR EXERCISES IN LOWERING OF INTRAOCULAR PRESSURE IN GLAUCOMA PATIENTS: AN AFFIRMATIVE PROPOSITION. GLAUCOMA IS THE MOST COMMON CAUSE OF IRREVERSIBLE BLINDNESS WORLDWIDE, WITH >65 MILLION SUFFERERS. IT IS INCURABLE AND THE ONLY THERAPEUTIC APPROACH ACCEPTED TILL NOW IS THE LOWERING OF INTRAOCULAR PRESSURE (IOP) MEDICALLY AND/OR SURGICALLY. THESE KNOWN INTERVENTIONS MIGHT HAVE MANY SIDE EFFECTS AND COMPLICATIONS. YOGA-BASED INTERVENTIONS ARE NOW WELL ACCEPTED AS ALTERNATIVE THERAPY IN MANY CHRONIC DISEASES. THE EFFECTS OF YOGA IN GLAUCOMA, HOWEVER, HAVE NOT BEEN STUDIED ADEQUATELY. ACCOMMODATION (THE PROCESS OF ADJUSTMENT OF OPTICAL POWER TO MAINTAIN CLEAR VISION) OF EYES LEADS TO INSTANT LOWERING OF IOP. THEREFORE, WE HYPOTHESIZE THAT ONE OF THE YOGA-BASED INTERVENTIONS, TRATAK KRIYA, WHICH INCLUDES OCULAR EXERCISES MIGHT LEAD TO LOWERING OF IOP IN GLAUCOMA PATIENTS. THE PROPOSED TRATAK KRIYA LEADS TO CONTRACTION AND RELAXATION OF CILIARY MUSCLES WHICH MIGHT INCREASE OUTFLOW OF AQUEOUS HUMOR. IN ADDITION, THIS YOGA-BASED INTERVENTION MIGHT DECREASE STRESS AND IMPROVE QUALITY OF LIFE IN GLAUCOMA PATIENTS. 2018 6 2874 16 YOGA-INDUCED UVEITIS GLAUCOMA HYPHEMA SYNDROME. A 74-YEAR-OLD PSEUDOPHAKIC WHITE WOMAN WITH PSEUDOEXFOLIATION SYNDROME PRESENTED WITH RIGHT EYE PAIN AND PHOTOPHOBIA AND WAS FOUND TO HAVE PSEUDOPHACODENESIS WITH RECURRENT EPISODES OF ANTERIOR UVEITIS, MICROHYPHEMA, AND ELEVATED INTRAOCULAR PRESSURE (IOP). ALL EPISODES OCCURRED AFTER YOGA SESSIONS WITH INTENSIVE FACEDOWN POSTURES. ULTRASOUND BIOMICROSCOPY (UBM) PERFORMED IN SUPINE AND PRONE POSITIONS DEMONSTRATED SIGNIFICANT CHANGE IN THE LENS-BAG COMPLEX POSITION, WITH LENS-IRIS TOUCH. THE PATIENT UNDERWENT INTRAOCULAR LENS (IOL) EXPLANTATION, ANTERIOR VITRECTOMY, AND FLANGED INTRASCLERAL HAPTIC-FIXATED IOL PLACEMENT VIA DOUBLE-NEEDLE TECHNIQUE, WITH RESOLUTION OF ALL SYMPTOMS. 2021 7 1358 21 IMMEDIATE EFFECT OF YOGA EXERCISES FOR EYES ON THE MACULAR THICKNESS. BACKGROUND: YOGA EXERCISES FOR EYES HAVE BEEN ADVOCATED AS BENEFICIAL TO EYE HEALTH. IN A PREVIOUS STUDY, WE EVALUATED THE EFFECT OF YOGA EXERCISES FOR EYES ON THE INTRAOCULAR PRESSURE (IOP). THE OTHER ASPECTS OF THE EFFECTS OF YOGA EXERCISES FOR EYES TO OCULAR STRUCTURE HAVE NOT BEEN INVESTIGATED YET. AIM: THE AIM OF THIS STUDY IS TO EVALUATE THE EFFECT OF YOGA EXERCISES FOR EYES ON THE MACULAR STRUCTURE USING THE OPTICAL COHERENCE TOMOGRAPHY (OCT) AND OCT ANGIOGRAPHY (OCTA) PARAMETERS. METHODS: TWENTY-NINE PARTICIPANTS WERE INCLUDED IN THIS MASKED WITHIN PARTICIPANT COMPARISON OF HEALTHY CONTROLS. BASIC OPHTHALMIC EXAMINATION WAS PERFORMED, AFTER WHICH PATIENTS WERE EVALUATED FOR IOP, OCT, AND OCTA BEFORE AND AFTER YOGA EXERCISES FOR EYES. OCT/A PARAMETERS THAT WERE EVALUATED WERE: AVERAGE MACULAR THICKNESS (AMT) (MUM), CENTRAL MACULAR THICKNESS (MUM), CENTRAL CHOROIDAL THICKNESS (MUM) VESSEL DENSITY (%) IN THE SUPERFICIAL, DEEP VASCULAR LAYERS, AND IN THE CHORIOCAPILLARIS. RESULTS: IOP WAS SIGNIFICANTLY REDUCED (POSTEXERCISE IOP = 13.02 MMHG +/- 2.82 MMHG) FROM THE INITIAL VALUE (PREEXERCISE IOP = 13.86 MMHG +/- 2.85 MMHG, P = 0.02). AMT SIGNIFICANTLY INCREASED (POSTEXERCISE AMT = 275.40 MUM +/- 10.85 MUM) FROM THE PREEXERCISE MEASUREMENT (PREEXERCISE AMT = 274.41 MUM +/- 10.89 MUM; P = 0.02). CONCLUSION: AFTER YOGA OCULAR EXERCISES, IOP SIGNIFICANTLY DECREASED AND AMT SIGNIFICANTLY INCREASED IN HEALTHY CONTROLS, SUGGESTING AN EFFECT OF THESE EXERCISES ON THE MACULAR THICKNESS. 2020 8 1763 18 POSTERIOR VITREOUS DETACHMENT PRECIPITATED BY YOGA. YOGA HAS RECENTLY BEEN TOUTED AS A MEANS TO IMPROVE PHYSICAL AND MENTAL WELL-BEING. HOWEVER, NO FORM OF EXERCISE IS WITHOUT ITS RISKS. A 32-YEAR-OLD CHINESE FEMALE WITH MODERATE MYOPIA COMPLAINED OF RIGHT EYE SUDDEN ONSET OF FLOATERS AND MILD BLURRING OF VISION AFTER THE HEAD-DOWN POSTURE. THE VISUAL ACUITY WAS 6/12 IN THE RIGHT EYE AND 6/9 IN THE LEFT EYE. A RIGHT EYE FUNDUS EXAMINATION SHOWED POSTERIOR VITREOUS DETACHMENT, WITH A SMALL BLOOD CLOT LOCATED AT THE INFERIOR MARGIN OF THE OPTIC DISC. THE PATIENT WAS DIAGNOSED WITH RIGHT EYE VITREOUS HEMORRHAGE SECONDARY TO ACUTE POSTERIOR VITREOUS DETACHMENT AND WAS MANAGED CONSERVATIVELY. ACUTE CHANGES IN POSTURE, ESPECIALLY BETWEEN AN UPRIGHT AND A HEAD-DOWN POSITION, MAY CAUSE ACUTE POSTERIOR VITREOUS DETACHMENT. AS YOGA PRACTITIONERS MAY BE REQUIRED TO ASSUME THIS HEAD-DOWN POSITION, MYOPIC PATIENTS SHOULD BE WARNED OF THE POSSIBLE OCULAR COMPLICATIONS OF THIS EXERCISE. 2018 9 2694 13 YOGA INDUCED ACUTE ULNAR NERVE COMPRESSION BY A GANGLION CYST IN GUYON'S CANAL. ACUTE ULNAR NEUROPATHY AT THE WRIST CAN BE DIFFICULT TO DIAGNOSE, AS IT IS AN UNCOMMON NEUROPATHY WITH VARIABLE CLINICAL PRESENTATIONS AND NUMEROUS ETIOLOGIES. WE PRESENT A CASE OF ACUTE ULNAR NEUROPATHY OF THE DEEP MOTOR BRANCH CAUSED BY A GANGLION CYST IN GUYON'S CANAL. INTERESTINGLY, THIS CASE OF ACUTE LOSS OF MOTOR FUNCTION OCCURRED AFTER THE PATIENT PARTICIPATED IN YOGA (SPECIFICALLY THE DOWNWARD DOG POSITION), AND RESOLVED SPONTANEOUSLY OVER TIME AFTER STOPPING YOGA, WITHOUT SURGICAL EXCISION OF THE GANGLION, SUGGESTING EXACERBATION OR PROTRUSION OF AN OCCULT GANGLION CYST DUE TO INCREASED ACTIVITY AND COMPRESSION OF THE HYPOTHENAR EMINENCE. 2013 10 2356 12 VALSALVA HAEMORRHAGIC RETINOPATHY IN PREGNANCY AFTER YOGA. A 35-YEAR-OLD PREGNANT CAUCASIAN WOMAN AT 27 WEEKS GESTATION PRESENTED WITH SUDDEN ONSET PAINLESS LOSS OF VISION AND A LARGE FLOATER IN HER LEFT EYE WHILE DOING YOGA. SHE WAS FOUND TO HAVE A DENSE VITREOUS HAEMORRHAGE WITH A SMALL PRERETINAL HAEMORRHAGE. ULTRASOUND IMAGING CONFIRMED THE HAEMORRHAGE AND SHOWED NO OTHER RETINAL DAMAGE. SHE WAS DIAGNOSED WITH VALSALVA HAEMORRHAGIC RETINOPATHY AND WAS TREATED CONSERVATIVELY. AFTER 5 MONTHS OF FOLLOW-UP, THIS WOMAN HAD HAD A NORMAL DELIVERY AND HER HAEMORRHAGES AND VISION LOSS HAD RESOLVED. 2017 11 379 11 BASILAR ARTERY OCCLUSION FOLLOWING YOGA EXERCISE: A CASE REPORT. BASILAR ARTERY OCCLUSION DEVELOPED IN A 34 YEAR OLD WOMAN 2 MONTHS AFTER ADOPTING UNUSUAL NECK POSTURES DURING YOGA PRACTICE. ON ANGIOGRAPHY, HER BASILAR ARTERY WAS FILLED WITH INTRALUMINAL CLOT WHILE THE VERTEBRAL ARTERIES WERE NORMAL. WE POSTULATE THAT A SEVERE REDUCTION IN BLOOD FLOW AND POSSIBLY AN INTIMAL TEAR TRIGGERED THROMBOSIS OF THE VERTEBRAL ARTERY AND THAT THE FINAL STROKE MECHANISM WAS ARTERY-TO-ARTERY EMBOLISM. 1993 12 1656 10 MUSCULOSKELETAL INJURIES RELATED TO YOGA: IMAGING OBSERVATIONS. OBJECTIVE: THE PURPOSE OF THIS ARTICLE IS TO DESCRIBE THE IMAGING APPEARANCES OF MUSCULOSKELETAL INJURIES RELATED TO YOGA. WE PERFORMED AN AUTOMATED SEARCH IN THE DATABASE OF A LARGE TERTIARY CARE CENTER AND CONDUCTED A RETROSPECTIVE ANALYSIS OF THE IMAGING FINDINGS IN 38 PATIENTS OVER A 9-YEAR PERIOD. CONCLUSION: THE MOST FREQUENTLY ENCOUNTERED MUSCULOSKELETAL INJURIES WERE TENDINOUS LESIONS, INCLUDING TEARS OF THE SUPRASPINATUS, ACHILLES, AND PERONEUS BREVIS TENDONS AND FIBROCARTILAGINOUS TEARS INVOLVING THE MEDIAL MENISCUS, ACETABULAR LABRUM, GLENOID LABRUM, AND LUMBAR DISK WITH EXTRUSION. 2012 13 42 11 A CASE OF RECTUS SHEATH HEMATOMA CAUSED BY YOGA EXERCISE. RECTUS SHEATH HEMATOMA IS A RELATIVELY RARE CONDITION BUT A SIGNIFICANT CAUSE OF ACUTE ABDOMINAL PAIN. THE ACUTE ABDOMINAL PAIN ASSOCIATED WITH RECTUS SHEATH HEMATOMA CAN MIMIC SEVERAL CONDITIONS, SUCH AS APPENDICITIS, INTESTINAL PROBLEMS (OBSTRUCTION, PERFORATION, HERNIA, MALIGNANCY), AND GYNECOLOGIC DISEASE (OVARIAN CYST, TORSION, TUBO-OVARIAN ABSCESS, ECTOPIC PREGNANCY). CORRECT DIAGNOSIS AND SUBSEQUENT TREATMENT DEPENDS ON CAREFUL HISTORY TAKING AND APPROPRIATE USE OF DIAGNOSTIC TOOLS TO AVOID UNNECESSARY LAPAROTOMY. WE REPORT A CASE OF RECTUS SHEATH HEMATOMA DUE TO NONCONTACT STRENUOUS EXERCISE, YOGA, THAT MIMICKED GYNECOLOGIC DISEASES. 2009 14 1775 15 PRACTICE OF YOGA MAY CAUSE DAMAGE OF BOTH SCIATIC NERVES: A CASE REPORT. SCIATIC NERVE TRAUMATIC DAMAGE VERY RARELY OCCURS BILATERALLY. WE DESCRIBE THE CASE OF A 67-YEAR-OLD WOMAN WHO REPORTED A BILATERAL TRAUMATIC LESION OF THE SCIATIC NERVE DURING PRACTICE OF YOGA. NERVE CONDUCTION STUDIES SHOWED A BILATERAL SCIATIC NERVE NEUROPATHY, MOSTLY AFFECTING THE PERONEAL COMPONENT. LUMBAR PLEXUS MRI DOCUMENTED REGULAR ANATOMICAL FEATURES OF THE MAIN PRINCIPAL NERVE ROOTS WITH BILATERAL T2 SIGNAL ALTERATION OF ROOTS L4, L5 AND S1 THAT EXTENDED INTO THE SCIATIC NERVES SHOWING BOTH INCREASE IN SIZE, PROBABLY RELATED TO CHRONIC INJURY OF NERVES, AND AN ALTERATION IN DIFFUSION SIGNAL THAT SUGGESTED A RECENT ACUTE OVERLAPPED PROCESS. 2013 15 2873 15 YOGA-INDUCED MYOSITIS OSSIFICANS TRAUMATICA OF THE SCAPHOLUNATE LIGAMENT. BACKGROUND MYOSITIS OSSIFICANS TRAUMATICA (MOT) INVOLVES THE HETEROTOPIC DEVELOPMENT OF LAMELLAR BONE AFTER A TRAUMATIC INJURY. DESPITE BEING TERMED "MYOSITIS," MOT IS NOT LIMITED TO MUSCLE BUT RATHER CAN INVOLVE TENDONS, FAT, AND FASCIA. "TRAUMATICA" REFLECTS THAT LESIONS ARE USUALLY ASSOCIATED WITH A HISTORY OF SIGNIFICANT TRAUMA, THAT IS, FRACTURES OR SURGERY; HOWEVER, MANY REPORTS SUGGEST THEY CAN ALSO BE LINKED TO REPETITIVE LOW-ENERGY INSULTS. IN BOTH CASES, THE INFLAMMATORY RESPONSE SECONDARY TO TISSUE INJURY GENERATES A PROLIFERATIVE OSTEOBLASTIC CASCADE. CASE DESCRIPTION WE PRESENT A CASE OF PERSISTENT WRIST PAIN IN A 43-YEAR-OLD WOMAN ASSOCIATED WITH YOGA ACTIVITIES. HER RADIOGRAPHIC STUDIES DEMONSTRATED PARTIAL SCAPHOLUNATE (SL) LIGAMENT TEAR AND AN ASSOCIATED MASS LESION. SURGICAL PATHOLOGY REVEALED MOT INVOLVING THE SL LIGAMENT. LITERATURE REVIEW MOT LESIONS IN THE UPPER EXTREMITY ARE USUALLY LOCALIZED AROUND THE ELBOW, AND CASES IN THE HAND ARE RELATIVELY RARE. THERE ARE NO PRIOR REPORTS OF OCCURRENCES WITHIN THE WRIST JOINT OR IN ASSOCIATION WITH THE SL LIGAMENT. HOWEVER, BIOMECHANICAL STUDIES HAVE QUANTIFIED SIGNIFICANT MECHANICAL STRAINS ACROSS THE SL INTERVAL DURING VARIOUS YOGA POSES. THIS PATTERN OF MICROTRAUMA IS CAPABLE OF GENERATING MOT. CLINICAL RELEVANCE UPPER EXTREMITY WEIGHT-BEARING POSITIONS ARE COMMON IN YOGA AND SUBJECT THE WRIST, ESPECIALLY THE SL INTERVAL, TO HIGH MECHANICAL STRAINS. THIS PATTERN OF MICROTRAUMA SHOULD LEAD THE CLINICIAN TO SUSPECT MOT WHEN ENCOUNTERING A MASS IN THE WRIST, BUT MALIGNANCY AND INFECTION MUST BE RULED OUT. 2019 16 2893 14 YOGAMAN: AN INEXPENSIVE, ANATOMICALLY-DETAILED CHEST TUBE PLACEMENT TRAINER. INTRODUCTION: OPPORTUNITIES FOR CHEST TUBE PLACEMENT IN EMERGENCY MEDICINE TRAINING PROGRAMS HAVE DECREASED, MAKING COMPETENCE DEVELOPMENT AND MAINTENANCE WITH LIVE PATIENTS PROBLEMATIC. AVAILABLE TRAINERS ARE EXPENSIVE AND MAY REQUIRE COSTLY MAINTENANCE. METHODS: WE CONSTRUCTED AN ANATOMICALLY-DETAILED MODEL USING A HALLOWEEN SKELETON THORAX, DRESS FORM TORSO, AND YOGA MAT. PARTICIPANTS IN A TRIAL SESSION COMPLETED A SURVEY REGARDING EITHER THEIR COMFORT WITH CHEST TUBE PLACEMENT BEFORE AND AFTER THE SESSION OR THE REALISM OF YOGAMAN VS. CADAVER LAB, DEPENDING ON WHETHER THEY HAD PLACED <10 OR 10 OR MORE CHEST TUBES IN LIVE PATIENTS. RESULTS: INEXPERIENCED PROVIDERS REPORTED AN IMPROVEMENT IN COMFORT AFTER WORKING WITH YOGAMAN, (COMFORT BEFORE 47 MILLIMETERS [MM] [INTERQUARTILE RATIO {IQR}, 20-53 MM]; COMFORT AFTER 75 MM [IQR, 39-80 MM], P=0.01). EXPERIENCED PROVIDERS RATED REALISM OF YOGAMAN AND CADAVER LAB SIMILARLY (YOGAMAN 79 MM [IQR, 74-83 MM]; CADAVER LAB 78 MM [IQR, 76-89 MM], P=0.67). ALL EVALUATORS EITHER AGREED OR STRONGLY AGREED THAT YOGAMAN WAS USEFUL FOR TEACHING CHEST TUBE PLACEMENT IN A RESIDENCY PROGRAM. CONCLUSION: OUR CHEST TUBE TRAINER ALLOWED FOR LANDMARK IDENTIFICATION, TISSUE DISSECTION, PLEURA PUNCTURE, LUNG PALPATION, AND TUBE SECURING. IT IMPROVED COMFORT OF INEXPERIENCED PROVIDERS AND WAS RATED SIMILARLY TO CADAVER LAB IN REALISM BY EXPERIENCED PROVIDERS. IT IS EASILY REUSABLE AND, AT $198, COSTS A FRACTION OF THE PRICE OF AVAILABLE COMMERCIAL TRAINERS. 2019 17 2914 14 [SPONTANOUS PNEUMOMEDIASTINUM AFTER YOGA PRACTICE - A CASE REPORT]. PNEUMOMEDIASTINUM IS DEFINED AS INTERSTITIAL AIR IN THE MEDIASTINUM, WITHOUT ANY APPARENT PRECIPATING FACTOR SUCH AS TRAUMA, OESOPHAGEAL PERFORATION OR INFECTIONS. IT IS VERY UNCOMMON AND USUALLY AFFECTS YOUNG OTHERWISE HEALTHY INDIVIDUALS. THE MOST COMMON SYMTOMS ARE CHEST PAIN AND DYSPNEA WITH SUBCUTANEOUS EMPHYSEMA FOUND ON EXAMINATION. TREATMENT IS USUALLY CONSERVATIVE WITH PAIN RELIEF. HERE, WE PRESENT AN UNUSUAL CASE OF A 23-YEAR-OLD PREVIOUSLY HEALTHY MALE WHO WAS DIAGNOSED WITH PNEUMOMEDIASTINUM AFTER PRACTISING YOGA. THIS CASE DEMONSTRATES THE NEED TO STUDY PATIENTS WITH CHEST PAIN OF UNKNOWN CAUSE IN DETAILS TO FIND CAUSES. 2009 18 2108 11 THE EFFECT OF YOGA ON PUBORECTALIS PARADOX. NINE PATIENTS WITH SEVERE DEFAECATION DIFFICULTIES PRIMARILY CONSIDERED TO BE DUE TO PUBORECTALIS DYSFUNCTION (PUBORECTALIS PARADOX), VERIFIED BY ELECTROMYOGRAPHY (EMG) OF THE STRIATED ANAL SPHINCTER MUSCLES, WERE OFFERED TRAINING IN YOGIC TECHNIQUES OF RELAXATION AND MUSCLE CONTROL IN ORDER TO CHANGE THE ACTIVITY OF THE PELVIC FLOOR MUSCLES DURING ATTEMPTED DEFAECATION. FIVE PATIENTS COMPLETED THE TRAINING PROGRAM OF 20 2-HOUR SESSIONS AND WERE RE-EXAMINED CLINICALLY AND WITH EMG. ONE PATIENT REGAINED A NORMAL EMG PATTERN BUT NONE OF THE PATIENTS IMPROVED CLINICALLY. 1991 19 1501 13 INVERTED YOGA AND NEAR SYNCOPE: AN UNUSUAL DIAGNOSIS OF RIGHT VENTRICULAR MYXOMA. PRIMARY CARDIAC TUMORS ARE EXTREMELY RARE AND ARE DIFFICULT TO DIAGNOSE. ALTHOUGH USUALLY BENIGN IN NATURE, MYXOMAS REQUIRE SURGICAL RESECTION DUE TO THEIR INCREASED RISK OF EMBOLIC AND CARDIAC COMPLICATIONS, WITH THE TIMING OF RESECTION DEPENDENT ON THE PRESENTATION AND SIZE OF THE TUMOR. HOWEVER, IF DIAGNOSED EARLY, PATIENTS WITH PRIMARY BENIGN CARDIAC TUMORS HAVE EXCELLENT PROGNOSIS FOLLOWING SURGERY. THEREFORE, A HIGH INDEX OF SUSPICION AND A WIDE DIFFERENTIAL DIAGNOSIS ARE VERY IMPORTANT IN DETECTING RARE CONDITIONS THAT CAN AFFECT OTHERWISE HEALTHY INDIVIDUALS. WE PRESENT AN UNCOMMON CASE OF A RIGHT VENTRICULAR MYXOMA THAT WAS DISCOVERED WHEN THE PATIENT WAS PERFORMING INVERTED YOGA AND EXPERIENCED A NEAR SYNCOPAL EPISODE. PATIENT SUBSEQUENTLY UNDERWENT AN ECHOCARDIOGRAPHIC EVALUATION AND WAS FOUND TO HAVE A RIGHT VENTRICULAR MYXOMA THAT WAS EXCISED. ALTHOUGH RECURRENCE IS RARE, IT IS IMPORTANT FOR PHYSICIANS TO REMAIN VIGILANT AND CONTINUE CAREFUL AND CONSISTENT FOLLOW-UP FOR PATIENTS WITH A HISTORY OF A CARDIAC MYXOMA. 2018 20 2724 10 YOGA NEUROPATHY. A SNOOZER. SCIATIC NERVE COMPRESSION VERY RARELY OCCURS BILATERALLY. THE AUTHORS PRESENT A WOMAN WITH PROFOUND LOWER EXTREMITY WEAKNESS AND SENSORY ABNORMALITY AFTER FALLING ASLEEP IN THE HEAD-TO-KNEES YOGA POSITION (ALSO CALLED "PASCHIMOTTANASANA"). CLINICAL AND ELECTRODIAGNOSTIC FINDINGS ARE DISCUSSED IN DETAIL AND A BRIEF REVIEW OF THE LITERATURE IS PRESENTED. 2005