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Course

Neurocognitive Issues and HIV

Details

Published Date: 12/05/2024

Expiration Date: 03/19/2027

CE Credit: CME:1CNE: 1

Description

This course will ensure that clinicians understand the prevalence of HIV-associated neurocognitive disorders (HAND) in HIV-positive and how it has changed with antiretroviral therapy (ART). HAND-related symptoms include short attention span, memory loss, mood disorders, irritability, poor judgment, confusion, and impairment of fine motor skills. As the HIV-positive patient population ages, co-morbidities including cerebrovascular disease risk factors such as hypertension, diabetes, and hypercholesterolemia are increasingly recognized as risk factors for cognitive impairment in HIV-positive patients on ART. ART remains the only option to prevent or delay progression of HAND with the early initiation of ART showing improved neurocognitive performance over time compared to delayed start to ART. Despite significant advances in the biomedical treatment of HIV-related conditions, the pathogenesis, diagnosis, and treatment of HAND remains challenging.

Presenter(s)

Jessica Robinson-Papp,MD, MS, FAAN
Jessica Robinson-Papp, MD is a board certified neurologist with fellowship training in Clinical Neurophysiology and additional board certification in electrodiagnostic medicine. She is an Associate Professor of Neurology at the Icahn School of Medicine at Mount Sinai in New York City, and the attending neurologist at the Jack Martin Fund Clinic, Mount Sinai's primary care HIV clinic. Dr. Robinson-Papp's research and clinical interests include neuropathy, and the neurologic complications of HIV/AIDS including chronic pain. She is the recipient of grants from the NIH to study HIV-associated neuropathy, and is the medical director of the Manhattan HIV Brain Bank. In addition to her research, Dr. Robinson-Papp performs electromyography (EMG), autonomic testing, intraoperative neurologic monitoring, and evoked potentials to aid in the diagnosis of neurologic disorders. She is the attending neurologist for the Jack Martin Clinic, where she provides neurologic care to people living with HIV/AIDS. Dr. Robinson-Papp is board certified in neurology by the American Board of Psychiatry and Neurology and in EMG by the American Board of Electrodiagnostic Medicine.

Learning Objectives

  • Discuss the prevalence of HIV-associated neurocognitive disorder (HAND) and how it has changed with the use of modern antiretroviral therapies.
  • Understand the clinical manifestations of HAND.
  • Document the mechanisms leading to HAND, including the role of aging and medical co-morbidities.

Continuing Education Credit Information