Resolution of Amaurosis Fugax Coinciding with Antar-Kumbhaka Pranayama Practice

Antar-Kumbhaka pranayama, which emphasizes breath retention following inhalation, may induce cerebral vasodilation through carbon dioxide retention, offering potential benefits in cerebrovascular insufficiency. We report the case of a 77-year-old male with a 6-year history of weekly episodes of binocular amaurosis fugax. Neurological and ophthalmological evaluations were unremarkable. The Doppler ultrasonography revealed 70% stenosis of the right internal carotid artery. The patient, who had not received antiplatelet therapy, began a regimen of Antar-Kumbhaka pranayama, and over a period of 6 months, he reported complete resolution of visual disturbances and improvement in head discomfort, memory, and driving. Follow-up Doppler imaging showed increased carotid plaque burden, yet he remained asymptomatic. This case suggests that Antar-Kumbhaka pranayama may provide relief in patients with carotid artery stenosis and amaurosis fugax. While promising, these findings require validation through controlled studies to determine efficacy, mechanism, and safety. Until validated by further studies, Antar-Kumbhaka pranayama should be considered an adjunct to established secondary stroke prevention and not a substitute for evidence-based therapy.