Two patients, one with idiopathic diaphragmatic paralysis and one with neuralgic amyotrophy associated with diaphragmatic paralysis, are presented. The evidence is offered that both idiopathic diaphragmatic paralysis and neuralgic amyotrophy have identical pathogenesis and that they represent two aspects of the same pathophysiologic disorder. The evidence is also presented that the mechanism of nerve injury in both entities is similar to that seen in Landry-Guillain-Barre syndrome.

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