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Brain Function

Apr 12, 2006

Can you please xplain if HIv causes brain damage? decrease in neurolgical function?

I am a bit frightened because I feel i am not as sharp as I used to be. What should I b elooking for in terms of brain damage from HIV. I am undetetcable 300 CD and sustiva truavda. Is there any other medication that I should be taking so that I do not suffer permanent brain damage?

Response from Dr. Henry

Generally persons doing well with suppressed HIV levels and a CD4 count of 300 are protected from AIDS-related dementia. That maybe even more true when the HIV drugs penetrate well into the brain (such as Sustiva). Sustiva can sometimes cause some chronic brain/CNS problems to complicate matters a bit more. Formal neuropscyological assessment is often very helpful to detail the level of problems you are having and provide guidance to what needs to be done next (head imaging such as an MRI or CT scan may provide some details regarding level of dementia -if any- though often not a cost-effective approach). KH

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