Neuropsychological Evaluation of the HIV Patient

Stern, Yaakov

The recognition that there were subtle cognitive changes in patients with HIV disease that could progress to serious dementia led to the need for neuropsychological evaluation of AIDS patients. This article describes both the normative considerations that are involved in developing a test battery and describes the practical uses for which neuropsychological testing can be used in diagnosis and management. A particular problem in testing can be differentiating between the direct impact of HIV infection on the brain and the effects of the various peripheral opportunistic infections. This article discusses the choices in neuropsychological testing between the trade-off of the breadth of application and ease of interpretation that is available from standard batteries and the ability to pinpoint specific or subtle deficits that might be obtained from more experimental tasks. This article describes many of the specific tests that are used and their use in various stages of the illness.



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Psychiatric Clinics of North America

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February 11, 2022