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Images in Neurology
February 2013

Sirsasana (Headstand) Pose Causing Compressive Myelopathy With Myelomalacia

Author Affiliations

Author Affiliations: Department of Neurology, Cleveland Clinic Florida, Weston.

JAMA Neurol. 2013;70(2):268. doi:10.1001/jamaneurol.2013.589

A 52-year-old woman presented to our institution with bilateral hand numbness. She compulsively practiced yoga for more than 30 years and performed daily headstand poses. Examination showed weak grip, right Hoffmann sign, inability to tandem, and impaired vibration and proprioception. Imaging showed severe multilevel degenerative disease, spinal stenosis, and secondary compressive myelopathy with myelomalacia worse at C5 (Figure).