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. 1998 Jul 27;1998(3):CD000527. doi: 10.1002/14651858.CD000527

vanHensbroekGAM92‐4.

Methods Randomised, method not specified; stratified by admission coma score and study centre, balanced over time in blocks of 10; allocation concealed in sealed envelopes; open; neurological sequelae assessors blinded
Withdrawn before treatment: 3/579 (died)
No exclusions or loss to follow‐up reported
< 5% loss at 5 months follow‐up for persistent neurological sequelae
Participants 576 Gambian children
1 to 9 years
Cerebral malaria, Blantyre score 2 or less
Asexual falciparum parasitaemia
Excluded: disease other than malaria; recovered consciousness after correction of hypoglycaemia; QNN treatment before admission
Interventions AMim vs QNNim:
 1. AM 3.2 mg/kg on day 1, 1.6 mg/kg daily
 2. QNN 20 mg/kg, then 10 mg/kg every 12 h
Fansidar (25mg S, 1.25mg P) given after full recovery (in 2nd and 3rd year of the study); comatose patients given intravenous glucose/saline; hypoglycaemia managed with intravenous glucose; convulsions with diazepam, paraldehyde or phenobarbitone; transfusion if PCV < 15%; secondary infection treated with chloramphenicol
Outcomes 1. Mortality at hospital 
 2. Persisting neurological sequelae (primary end‐points)
 3. FCT
 4. PCT (50, 90, 100%)
 5. CRT
 6. Neuorological sequelae at discharge, 1 & 5 months
Notes Quality assessment: A, A, A
Paluther Rhone‐Poulenc