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).
Ferreira MA, Galvez-Jimenez N. Sirsasana (Headstand) Pose Causing Compressive Myelopathy With Myelomalacia. JAMA Neurol. 2013;70(2):268. doi:10.1001/jamaneurol.2013.589
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