Cerebral malaria: investigations

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cerebral malaria: investigations. Blood glucose, Acidosis, Blood film: thick and thin, Microscopy. Fully referenced neurology checklist.

Blood investigations

  • Blood glucose
  • Acidosis
  • Blood film: thick and thin
  • Microscopy
  • Polymerase chain reaction (PCR): this is more sensitive than microscopy

Emerging biomarkers

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Computed tomography (CT) head: features

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Magnetic resonance imaging (MRI) brain

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Other investigations

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Emerging ophthalmologic investigations

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References

  1. Idro R, Jenkins NE, Newton CR. Pathogenesis, clinical features, and neurological outcome of cerebral malaria. Lancet Neurol 2005; 4:827-840.
  2. Newton CR, Hien TT, White N. Cerebral malaria. JNNP 2000; 69:433-441.
  3. Lucchi NW, Jain V, Wilson NO, Singh N, Udhayakumar V, Stiles JK. Potential serological biomarkers of cerebral malaria. Dis Markers 2011; 31:327-335. 
  4. Lovegrove FE, Tangpukdee N, Opoka RO, et al. Serum angiopoietin-1 and -2 levels discriminate cerebral malaria from uncomplicated malaria and predict clinical outcome in African children. PLoS One 2009; 4: e4912. 
  5. Jain V, Lucchi NW, Wilson NO, et al. Plasma levels of angiopoietin-1 and -2 predict cerebral malaria outcome in Central India. Malar J 2011; 10:383.
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