White-matter damage in clade C HIV-positive subjects: A diffusion tensor imaging study

Jacqueline Hoare, Jean Paul Fouche, Bruce Spottiswoode, Katherine Sorsdahl, Marc Combrinck, Dan J. Stein, Robert H. Paul, John A. Joska

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

The relationship between cognitive impairment and white-matter integrity in human immunodeficiency virus (HIV) remains poorly understood, particularly in clade C. The authors utilized diffusion tensor imaging (DTI) and a comprehensive neuropsychological evaluation to investigate the relationship between cognitive impairment and white-matter integrity in HIV-positive subjects with clade C HIV. Forty-four HIV-infected individuals and 10 seronegative subjects were compared, using a whole-brain, voxel-based approach to define fractional anisot-ropy (FA) and mean diffusion (MD). Compared with healthy-control subjects, the HIV-infected group exhibited decreased FA in the corpus callo-sum, superior longitudinal fasciculus, and cingu-lum and sagittal stratum. This study provides evidence that white-matter integrity is compromised in individuals infected with clade C HIV.

Original languageEnglish
Pages (from-to)308-315
Number of pages8
JournalJournal of Neuropsychiatry and Clinical Neurosciences
Volume23
Issue number3
DOIs
StatePublished - 2011
Externally publishedYes

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