Diaphragmatic Paralysis Following Cervical Chiropractic Manipulation* Case Report and Review

This case report documents an uncommon cause of bilateraldiaphragmatic paralysis resulting from phrenic nerve injury duringcervical chiropractic manipulation. Several months after the initialinjury, our patient remains short of breath and has difficultybreathing in the supine position. Other causes of diaphragmaticparalysis and phrenic nerve injury are reviewed.