What is the value of the edrophonium test to differentiate myasthenic crisis from cholinergic crisis?
The edrophonium (Tensilon) test improves myasthenic crisis but aggravates cholinergic crisis.
However, interpretation of the result is often difficult and misleading because one group of muscles may deteriorate while others may improve.
Securing respiratory function and discontinuing all anticholinesterase drugs in a monitored hospital environment is a safer and more practical solution.
