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(Chest. 2001;119:638-640.)
© 2001 American College of Chest Physicians

Diaphragmatic Paralysis Following Cervical Chiropractic Manipulation*

Case Report and Review

David J. Schram, MD; William Vosik, MD and David Cantral, MD, FCCP

* From the University of Nebraska Medical Center (Dr. Schram), Omaha, NE; and Good Samaritan Hospital (Drs. Vosik and Cantral), Kearney, NE.

Correspondence to: David J. Schram, MD, Via Christi St. Joseph, 1131 South Clifton, Wichita, KS 67218; e-mail: djschram{at}hotmail.com

This case report documents an uncommon cause of bilateral diaphragmatic paralysis resulting from phrenic nerve injury during cervical chiropractic manipulation. Several months after the initial injury, our patient remains short of breath and has difficulty breathing in the supine position. Other causes of diaphragmatic paralysis and phrenic nerve injury are reviewed.

Key Words: cervical chiropractic manipulation • diaphragm paralysis • phrenic nerve






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