South Med J. 1993 Jun; 86(6): 688-90.

Phrenic nerve palsy accompanying chiropractic manipulation of the neck.

Tolge C, Iyer V, McConnell J.

Departments of Neurology and Medicine (Division of Pulmonary Medicine), University of Louisville School of Medicine, KY 40292.

We have described a case of bilateral diaphragmatic palsy temporally related to chiropractic manipulation of the neck. Severe orthopnea of acute onset during cervical manipulation was the main symptom.