EDROPHONIUM RESPONSIVENESS NOT NECESSARILY DIAGNOSTIC OF MYASTHENIA-GRAVIS

被引:50
作者
OH, SJ
CHO, HK
机构
[1] Department of Neurology, The University of Alabama at Birmingham, Veterans Administration Medical Center, Birmingham, Alabama
关键词
Edrophonium; Lambert‐Eaton myasthenic syndrome; myasthenia gravis;
D O I
10.1002/mus.880130302
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Uneqivocally positive edrophonium tests, both clinically and electrophysiologically, were observed in a classic case of the Lambert–Eaton myasthenic syndrome. A review of the literature revealed that a positive edrophonium response has been reported in a majority of cases of myasthenia gravis (MG) and overlap myasthenic syndrome and in some cases of the Lambert–Eaton myasthenic syndrome, botulism, congenital myasthenic syndrome, drug‐induced myasthenic syndrome, the Guillain‐Barre syndrome, and amyotrophic lateral sclerosis. From this, we conclude that anunequivocally positive edrophonium test alone is not necessarily diagnostic of MG and that the diagnosis of MG should be based on the clinical features together with edrophonium‐responsiveness and other laboratory findings. Copyright © 1990 John Wiley & Sons, Inc.
引用
收藏
页码:187 / 191
页数:5
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