Electrophysiological manifestations in adults with HIV/AIDS submitted and not submitted to antiretroviral therapy.

Carla Gentile Matas, Sara Manami Silva, Bruna de Almeida Marcon, Isabela Crivellaro Gonçalves
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引用次数: 25

Abstract

Background: auditory evoked potentials (AEP) assess the neuroelectric activity on the auditory pathway -from the auditory nerve to the cerebral cortex - in response to an acoustic stimulus or event. Studies have demonstrated electrophysiological abnormalities in individuals with HIV/AIDS.

Aim: to characterize the hearing electrophysiological manifestations in adults with HIV/AIDS by comparing the results obtained in the group exposed to antiretroviral therapy with those obtained in the group not exposed to such treatment.

Method: electrophysiological evaluation of hearing (Auditory Brainstem Response - ABR, Auditory Middle Latency Response - AMLR and P300) was conducted in 56 individuals with HIV/AIDS: 24 participants composed group I (not exposed to antiretroviral treatment) and 32 participants composed group II (exposed to treatment).

Results: alterations in every AEP were observed in individuals with HIV/ AIDS, especially in the ABR. Indeed, the group exposed to antiretroviral treatment presented more alterations.

Conclusion: individuals with HIV/AIDS may present alterations on the central and peripheral auditory nervous system. The group exposed to antiretroviral therapy presents more alterations on the brainstem auditory pathway.

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接受和未接受抗逆转录病毒治疗的成人HIV/AIDS患者的电生理表现。
背景:听觉诱发电位(AEP)评估听觉通路上的神经电活动——从听神经到大脑皮层——对声音刺激或事件的反应。研究表明艾滋病毒/艾滋病患者存在电生理异常。目的:通过比较接受抗逆转录病毒治疗组与未接受抗逆转录病毒治疗组的听力电生理表现,探讨成人HIV/AIDS患者的听力电生理特征。方法:对56例HIV/AIDS患者进行听力电生理评估(听觉脑干反应- ABR,听觉中潜伏期反应- AMLR和P300),其中24例为I组(未接受抗逆转录病毒治疗),32例为II组(接受治疗)。结果:HIV/ AIDS患者的所有AEP均发生改变,尤其是ABR。事实上,接受抗逆转录病毒治疗的那组表现出更多的变化。结论:艾滋病毒/艾滋病患者可能出现中枢和外周听觉神经系统的改变。接受抗逆转录病毒治疗的组在脑干听觉通路上表现出更多的改变。
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