Electrophysiological study of neurologically asymptomatic HIV1 seropositive patients

Acta Neurol Scand. 1993 Jan;87(1):47-51. doi: 10.1111/j.1600-0404.1993.tb04074.x.

Abstract

EEGs, brainstem auditory evoked potentials (BAEPs) and auditory event-related potentials (ERPs) were recorded from 33 individuals infected with the human immunodeficiency virus, type 1 (HIV1+ patients: 13 CDC Class II or III; 20 Class IV). All were neurologically asymptomatic, non-demented, and had a past history of intravenous drug abuse. Sixteen age- and sex-matched normals and 10 HIV1- former drug addicts served as controls. Half of the HIV1+ and HIV1- subjects displayed mild EEG anomalies and, except for one HIV1+ patient, BAEPs were normal in both groups. ERPs were normal in all HIV1- subjects but anomalous (longer latencies of components P2, N2, P3; reduced amplitude of P3) in 9 HIV1+ patients (27%), the incidence of such anomalies being higher for Class IV than Class II/III patients. Auditory ERPs proved the most sensitive and specific of these electrophysiological procedures in detecting subclinical central nervous system involvement in HIV1 infection.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Brain / physiopathology*
  • Electroencephalography
  • Evoked Potentials / physiology
  • Evoked Potentials, Auditory, Brain Stem / physiology
  • Female
  • HIV Seropositivity / physiopathology*
  • HIV Seropositivity / psychology
  • HIV-1*
  • Humans
  • Male
  • Neuropsychological Tests