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NEUROLOGY 1989;39:865
© 1989 American Academy of Neurology

A false-positive edrophonium test in a patient with a brainstem glioma

Lucy Y. Dirr, MD, Peter D. Donofrio, MD, Jeffrey F. Patton, MD and B. Todd Troost, MD

Department of Neurology, Bowman Gray School of Medicine of Wake Forest University. Winston-Salem, NC.

We report a photographically documented false-positive edrophonium test in a patient with a histologically verified brainstem glioma. While a positive response to intravenous edrophonium should usually be regarded as confirmatory for myasthenia gravis, the possibility of a false-positive test must be considered in patients with atypical physical findings.

Address correspondence and reprint requests to Dr. Dirr, Department of Neurology, Bowman Gray School of Medicine, 300 S. Hawthorne Rd., Winston Salem, NC 27103.

Received August 22,1988. Accepted for publication in final form December 29, 1988.




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