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An unusual cause of bilateral diaphragmatic paralysis.
  1. A Pandit,
  2. S Kalra,
  3. A Woodcock
  1. Regional Department of Respiratory Physiology, Wythenshawe Hospital, Manchester.


    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.

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