PT - JOURNAL ARTICLE AU - Emma Keelan AU - Joseph Kidney AU - Eoin P Judge TI - An unusual case of orthopnea AID - 10.7861/clinmedicine.17-3-245 DP - 2017 Jun 01 TA - Clinical Medicine PG - 245--247 VI - 17 IP - 3 4099 - http://www.rcpjournals.org/content/17/3/245.short 4100 - http://www.rcpjournals.org/content/17/3/245.full SO - Clin Med2017 Jun 01; 17 AB - Bilateral diaphragmatic paralysis is a known cause of respiratory failure. Diagnosis can be difficult, particularly in the acute setting. We present the case of a gentleman diagnosed with bilateral diaphragmatic paralysis secondary to phrenic neuropathy in the setting of cervical spondylosis.