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Logo of emermedjEmergency Medical JournalCurrent TOCInstructions to authors
 
Emerg Med J. Mar 2007; 24(3): 231.
PMCID: PMC2660045
Complications of yoga
A S Kashyap, K P Anand, and S Kashyap
A S Kashyap, Department of Endocrinology, Command Hospital (Southern Command), Pune, India
K P Anand, Department of Medicine, Command Hospital (Eastern Command), Kolkata, India
S Kashyap, Department of Hospital Administration, Command Hospital (Southern Command), Pune, India
Correspondence to: A S Kashyap
Department of Endocrinology, Command Hospital (Southern Command), Pune 411 040, India; kashyapajits@yahoo.com
Accepted March 23, 2006.
 
A 40‐year‐old man developed swelling of the face and neck associated with respiratory distress of sudden onset. These symptoms followed a yoga exercise called “pranayam”, which had involved a vigorous Valsalva manoeuvre. Clinically, he had subcutaneous emphysema in the neck, more predominant on the right side, and tachypnoea. Cervical radiographs showed air in the retropharyngeal space (fig 11),), parapharyngeal spaces and subcutaneous emphysema. Chest radiograph showed pneumomediastinum. Subcutaneous emphysema, air in the retroparapharyngeal spaces and pneumomediastinum are usually complications of surgical procedures on the upper aerodigestive tract, trauma, intubations or ventilator malfunction, but they can occur after a Valsalva manoeuvre or spontaneously.
figure em36459.f1
Figure 1 Radiograph showing air in the retropharyngeal space.
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