Case ReportPneumomediastinum from a severe asthma attackHashim, Taimoor MD, MB.BS; Chaudry, Ayesha H. MB.BS; Ahmad, Khurram MD; Imhoff, Jennifer PA-C; Khouzam, Rami MD, FACC, FACP, FASNC, FASE, FSCAIAuthor Information Taimoor Hashim is a hospitalist at Highline Medical Center in Burien, Washington. Ayesha Chaudry is a clinical observer at Highline Medical Center. Khurram Ahmad is an interventional cardiology fellow and clinical instructor at Michigan State University in East Lansing, Michigan. Jennifer Imhoff is a PA in emergency medicine at Highline Medical Center. Rami Khouzam is an assistant professor of medicine in the division of cardiology at the University of Tennessee Health Sciences Center in Memphis, Tennessee. The authors have indicated no relationships to disclose relating to the content of this article. Journal of the American Academy of PAs: July 2013 - Volume 26 - Issue 7 - p 29-32 doi: 10.1097/01.JAA.0000431512.13196.f3 Buy SDC Metrics Abstract ABSTRACT Spontaneous pneumomediastinum is a rare complication of an asthma exacerbation characterized by chest pain, dyspnea, neck swelling, and subcutaneous emphysema. Although the condition is usually benign and treatment is primarily supportive, surgical intervention may be needed if the patient develops hemodynamic or respiratory failure. © 2013 American Academy of Physician Assistants.