The mechanisms underlying cognitive impairments seen in people with HIV likely involve a combination of complex immunopathological processes controlled by HIV factors, the direct effects of cART and other host factors (e.g. age, lifestyle, comorbidities, polypharmacy). Given this complexity a holistic, multifaceted approach to assessing the primary causes and contributing factors of an individuals cognitive … Read more

Different HIV services have different resources available to them. In this section we depict three types of assessment pathway clinicians can follow if a patient has suspected cognitive issues. Pathway A: – Services which have a combined HIV-Memory/neurology clinic Pathway B: – Services with no combined HIV-Memory/neurology – Services with access to neuropsychological services Pathway … Read more