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. 2018 May 23;2018(5):CD007286. doi: 10.1002/14651858.CD007286.pub4

Franceschetti 1990.

Methods Randomised, controlled parallel trial, single centre trial.
2 treatment arms, one no treatment arm
No details available in text of randomisation or blinding methods employed
Treatment period: unclear
Follow up: >6months to <12 months
Participants Mean age 55 years, 34 men and 29 women undergoing supratentorial craniotomy for neoplasms
128 patients entered trial
Group A: 65 participants had pre‐operative seizures and were treated with AEDs (excluded from this review)
Group B: 63 participants had no seizures prior to operation and were not taking any AEDs
Interventions 3 treatment arms for Group B randomised participants: PB, PHT and no treatment
Group 1: PB (4 mg/kg daily for 5 days), followed by 2 mg/kg daily
Group 2: PHT (10 mg/kg daily for 5 days), followed by 5 mg/kg daily
Group 3: no treatment
Outcomes Primary outcomes: efficacy (number of seizures (early and late seizures), adverse effects
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No details in text
Allocation concealment (selection bias) Unclear risk No details in text
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk No details in text
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Attrition unreported, 24 participants with missing data for late seizure outcome
Selective reporting (reporting bias) Unclear risk No trial protocol available
Other bias Low risk No other bias detected