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Am J Psychiatry 1995; 152:987-994
Copyright © 1995 by American Psychiatric Association
Magnetic resonance imaging measurement of gray matter volume reductions in HIV dementia
EH Aylward, PD Brettschneider, JC McArthur, GJ Harris, TE Schlaepfer, JD Henderer, PE Barta, AY Tien and GD Pearlson
Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.
OBJECTIVE: The authors recently reported smaller basal ganglia volumes for
patients with HIV-associated dementia than for HIV-infected patients
without dementia and a seronegative comparison group. The purpose of the
current study was to determine whether HIV dementia is associated with
volume reductions in other brain regions. METHOD: The authors measured
volumes of CSF and gray and white tissue on cranial magnetic resonance
images from homosexual men who were 1) infected with HIV with
HIV-associated dementia complex, 2) infected with HIV without dementia, and
3) HIV seronegative. RESULTS: Results suggest that loss of white matter
occurs with HIV infection and is more severe in HIV- positive patients with
dementia than in those without dementia. There was some generalized volume
reduction in gray matter in HIV-positive demented patients, although group
differences did not reach significance when adjusted for age. Volume of
posterior cortex, however, was significantly smaller among HIV-positive
patients with dementia than in either remaining group. There were no
significant differences between HIV-positive nondemented patients and
HIV-negative subjects in these regions. CONCLUSIONS: In conjunction with
findings from previous research, the authors conclude that HIV dementia is
associated with specific gray matter volume reduction in basal ganglia and
posterior cortex, as well as with generalized volume reduction of white
matter.
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