Interventions for Neurocognitive Dysfunction

作者: Jacqueline Ellero , Michal Lubomski , Bruce Brew , None

DOI: 10.1007/S11904-017-0346-Z

关键词: DementiaNeurocognitivePsychological interventionHuman immunodeficiency virus (HIV)Neurofilament lightMedicineIntensive care medicineNeuroimagingNeurocognitive DysfunctionPsychiatryNeurotoxicity

摘要: This study aimed to evaluate current barriers HIV cure strategies and interventions for neurocognitive dysfunction with a particular focus on recent advancements over the last 3 years. Optimal anti-retroviral therapy (ART) poses challenges minimise neurotoxicity, whilst ensuring blood-brain barrier penetration minimising risk of cerebrovascular disease. CSF biomarkers, BCL11B neurofilament light chain may be implicated neuroinflammatory cascade leading cognitive impairment. Diagnostic imaging diffusion tensor resting-state fMRI show promise in future diagnosis monitoring HAND. The introduction ART has resulted dramatic decline HIV-associated dementia. Despite this reduction, milder forms disorder (HAND) are still prevalent clinically significant. central nervous system (CNS) been recognised as probable reservoir sanctuary HIV, representing significant management interventions.

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