An unusual cause of bilateral diaphragmatic paralysis.
In a patient who had a sudden onset of bilateral diaphragmatic paralysis after forceful neck manipulation complete, though gradual, recovery in lung function and transdiaphragmatic pressures was seen over three years. This is a previously unrecognised risk of neck osteopathy.
Pandit
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Regional Department of Respiratory Physiology, Wythenshawe Hospital, Manchester.
Kalra
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S
Woodcock
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D000368:Aged; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic / Q000009:adverse effects*; D009408:Nerve Compression Syndromes / Q000209:etiology*; D010791:Phrenic Nerve / Q000293:injuries*; D012133:Respiratory Paralysis / Q000209:etiology*