1. Preliminary comparative study of cortical thickness in HIV-infected patients with and without working memory deficit.
- Author
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Cabral RF, Corrêa DG, Zimmermann N, Tukamoto G, Kubo TTA, Fonseca RP, Silva MM, Wilner NV, Bahia PRV, Gasparetto EL, and Marchiori E
- Subjects
- Adult, Aged, Brazil epidemiology, Female, HIV isolation & purification, HIV Infections epidemiology, HIV Infections psychology, HIV Infections virology, Humans, Male, Memory Disorders epidemiology, Memory Disorders pathology, Memory Disorders psychology, Middle Aged, Neuropsychological Tests, Cerebral Cortex pathology, Cerebral Cortex virology, HIV Infections pathology, Memory Disorders virology, Memory, Short-Term physiology
- Abstract
Purpose: Changes in cerebral cortical regions occur in HIV-infected patients, even in those with mild neurocognitive disorders. Working memory / attention is one of the most affected cognitive domain in these patients, worsening their quality of life. Our objective was to assess whether cortical thickness differs between HIV-infected patients with and without working memory deficit., Methods: Forty-one adult HIV-infected patients with and without working memory deficit were imaged on a 1.5 T scanner. Working memory deficit was classified by composite Z scores for performance on the Digits and Letter-Number Sequencing subtests of the Wechsler Adult Intelligence Scale (third edition; WAIS-III). Cortical thickness was determined using FreeSurfer software. Differences in mean cortical thickness between groups, corrected for multiple comparisons using Monte-Carlo simulation, were examined using the query design estimate contrast tool of the FreeSurfer software., Results: Greater cortical thickness in left pars opercularis of the inferior frontal gyrus, and rostral and caudal portions of the left middle frontal gyrus (cluster 1; p = .004), and left superior frontal gyrus (cluster 2; p = .004) was observed in HIV-infected patients with working memory deficit compared with those without such deficit. Negative correlations were found between WAIS-III-based Z scores and cortical thickness in the two clusters (cluster 1: ρ = -0.59; cluster 2: ρ = -0.47)., Conclusion: HIV-infected patients with working memory deficit have regions of greater thickness in the left frontal cortices compared with those without such deficit, which may reflect increased synaptic contacts and/or an inflammatory response related to the damage caused by HIV infection., Competing Interests: The authors have declared that no competing interests exist.
- Published
- 2021
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