RT Journal Article SR Electronic T1 An unusual case of orthopnea JF Clinical Medicine JO Clin Med FD Royal College of Physicians SP 245 OP 247 DO 10.7861/clinmedicine.17-3-245 VO 17 IS 3 A1 Emma Keelan A1 Joseph Kidney A1 Eoin P Judge YR 2017 UL http://www.rcpjournals.org/content/17/3/245.abstract 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.