The intermediate syndrome ( IMS ) appears in the interval between the end of the cholinergic crisis and the onset of OPIDP . Symptoms associated with IMS manifest within 24 96 hours after exposure.
2.
Flaccid paralysis resulting from cholinergic crisis can be distinguished from myasthenia gravis by the use of the drug edrophonium ( Tensilon ), which worsens the paralysis caused by cholinergic crisis, but strengthens the muscle in the case of myasthenia gravis . ( Edrophonium is an cholinesterase inhibitor hence increases the concentration of acetylcholine present ).
3.
Flaccid paralysis resulting from cholinergic crisis can be distinguished from myasthenia gravis by the use of the drug edrophonium ( Tensilon ), which worsens the paralysis caused by cholinergic crisis, but strengthens the muscle in the case of myasthenia gravis . ( Edrophonium is an cholinesterase inhibitor hence increases the concentration of acetylcholine present ).
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