Annals of Case Reports and Clinical Studies (ISSN: 2834-5673) | Volume 5, Issue 4 | Case Report | Open Access

From Retina to Rhythm: Valsalva Retinopathy and Cardiac Sequelae Following Partial Hanging

Shaun Nevil*

Pulkit Kapoor1, Debdip Gosh2, Kanishka Verma3, Tiya Joby4, S Anton Charles5, Shaun Nevil6* and Chaitra C.S7

1Punjab Institute of Medical Sciences, Punjab, India

2Rajarajeshwari Medical College, Karnataka, India

3Sri Guru Ram Das Institute of Medical Sciences and Research, India

4Department of Internal Medicine, ESIC Medical College & PGIMSR, Karnataka, India

5Department of Internal Medicine, ESIC Medical College & PGIMSR, Karnataka, India

6Department of Internal Medicine, ESIC Medical College & PGIMSR, Karnataka, India

7Assistant Professor, Department of Internal Medicine, ESIC Medical College & PGIMSR, Karnataka, India

*Correspondence to: Shaun Nevil 

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Abstract

Valsalva retinopathy is a recognized cause of pre-retinal hemorrhage resulting from sudden increases in intra-thoracic or intra-abdominal pressure, though its occurrence in the context of hanging is uncommon. A 44-year-old male presented following an episode of deliberate self-harm by partial hanging and was admitted in an intubated state. Clinical evaluation revealed no intracranial or cervical spine injury; however, ophthalmological examination demonstrated well-defined pre-retinal hemorrhages consistent with Valsalva retinopathy. The mechanism is likely related to acute jugular venous compression leading to venous congestion and elevated retinal venous pressure, further compounded by episodes of vomiting and underlying hypertension. The absence of other common causes of retinal hemorrhage supported a hemodynamic etiology. This case highlights the importance of considering retinal involvement in near-hanging patients and the role of fundoscopic examination in identifying otherwise overlooked complications.

Keywords:

Valsalva retinopathy; Partial hanging; Retinal hemorrhage; Venous congestion; Fundoscopy

Citation:

Pulkit Kapoor, Debdip Gosh, Kanishka Verma, Tiya Joby, S Anton Charles, Shaun Nevil, et al. From Retina to Rhythm: Valsalva Retinopathy and Cardiac Sequelae Following Partial Hanging. Ann Case Rep Clin Stud. 2026;5(4):1-4.