Effects of amantadine in children with impaired consciousness caused by acquired brain injury: a pilot study.

Abstract:

OBJECTIVE:To conduct a pilot study of amantadine in children with impaired consciousness caused by acquired brain injury, to establish design feasibility, and to assess the effect on level of arousal and consciousness. DESIGN:Randomized, double-blind, placebo-controlled crossover trial. Seven subjects (mean age, 12.7 yrs) with an acquired brain injury (mean duration, 6 wks) were randomized to receive either 3 wks of placebo or amantadine, followed by a 1-wk washout period and then 3 wks of the other agent. Main outcome measures were the Coma/Near-Coma Scale and Coma Recovery Scale-Revised, each done three times per week. Subjective evaluations of change in arousal and consciousness by the parent and physician were done weekly. RESULTS:Five subjects completed the study. There was no significant difference in the slopes of recovery during either arm for the Coma/Near-Coma Scale (P = 0.24) or the Coma Recovery Scale-Revised (P = 0.28), although improvements in consciousness were noted by the physician during weeks when amantadine was given (P = 0.02). CONCLUSIONS:This study suggests that amantadine facilitates recovery of consciousness in pediatric acquired brain injury and provides important information necessary to design future more definitive studies.

journal_name

Am J Phys Med Rehabil

authors

McMahon MA,Vargus-Adams JN,Michaud LJ,Bean J

doi

10.1097/PHM.0b013e3181a5ade3

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

525-32

issue

7

eissn

0894-9115

issn

1537-7385

journal_volume

88

pub_type

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