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The objective of this prospective study is to evaluate the prevalence of neurocognitive impairments in HIV infected patients comparing patients with and without HAART. Recent studies have demonstrated a specific HIV infected patients neurocognitive disorders profile. These cognitive disorders concern primarily information processing speed, memory recall, attentional abilities, work related memory, executive functions, and psychometrical speed. This cognitive profile is similar to another highly documented one, described for another central nervous system disease (CNS): multiple sclerosis. In both CNS diseases, the earliest and most severe disorder is the one related to the information processing speed. For the multiple sclerosis patients, a short cognitive test (SDMT) is actually used not only to identify cognitive disorders presence, but also in order to predict a long term disability worsening. A digital version of this test (CSCT), has recently been developed in order to make this early evaluation easier. We hypothesize that CSCT alteration would also predict HAND, in HIV infected patients. A complete neuropsychological assessment is highly time and personal consuming. This short (approximatively 2 minutes) digital test would be highly helpful to identify patients, who will need a more extensive neuropsychological assessment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Absence of cognitive disorder |
| ||
| Asymptomatic cognitive disorder |
| ||
| Symptomatic cognitive impairment |
| ||
| HIV associated dementia |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Classic evaluation of neurocognitive functions | Other | Symbol Digit Modalities Test (SDMT) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Cognitive Speed Computerized Test (CSCT) score | allows the evaluation of the speed of the processing of the information | at patient inclusion |
| Montreal Cognitive Assessment (MoCA) Score | allows the evaluation of the overall cognitive functioning | at patient inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Paced Auditory Serial Addition Test (PASAT) score | allows to evaluate the concentration capacity | at patient inclusion |
| Numeric Memory (WAIS-III location and back) | short-term memory evaluation and verbal working memory |
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Inclusion Criteria:
Exclusion Criteria:
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Patients infected with HIV-1
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital Pasteur 2 - Service de Neurologie | Nice | 06001 | France |
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| New evaluation of neurocognitive functions | Other | Cognitive Speed Computerized Test (CSCT) |
|
| at patient inclusion |
| Score RL-RI16 | allows the evaluation of episodic and long-term verbal memory | at patient inclusion |
| Rey figure | allows the evaluation of the long-term capacities of visio-construction (wealth score) and planning | at patient inclusion |
| TMTB - TMTA Time Score | Assessment of Mental Flexibility | at patient inclusion |
| Verbal fluency test | allows the evaluation of the verbal initiation and verbal language capacities | at patient inclusion |
| IADL score | allows to evaluate the symptomatic character of the disorders | at patient inclusion |