Document 0255 DOCN M9590255 TI Pseudodeafness caused by speech latency delay in patients with the HIV associated dementia complex. DT 9509 AU Currie J; Malone V; Maruff P; Wright E; Hoy J; Brew B; Fairfield Infectious Diseases Hospital, Mental Health Research; Institute of Victoria. SO Annu Conf Australas Soc HIV Med. 1994 Nov 3-6;6:268 (unnumbered poster). Unique Identifier : AIDSLINE ASHM6/95291844 AB OBJECTIVE: To examine the nature of a novel clinical syndrome of HIV related pseudodeafness, caused by delayed speech initiation (DSI) in patients with HIV associated dementia complex (HDC). METHODS: In a number of HIV+ patients referred for assessment of deafness, the actual deficit was found to be DSI caused by HDC in the presence of normal hearing. We therefore devised a novel Clinical Speech Production Test and validated its speech initiation latencies (SILs) using computer analysis of digital sound recordings. RESULTS: In the 15 HDC subjects, SILs were significantly greater than those of HIV negative controls, or of subjects with cortical dementia (Alzheimer's disease) matched for severity of cognitive impairment. CONCLUSION: Delayed initiation of speech in HDC may masquerade clinically as deafness and reflects subcortical dysfunction. DE AIDS Dementia Complex/DIAGNOSIS/*PHYSIOPATHOLOGY Deafness/DIAGNOSIS/*PHYSIOPATHOLOGY Diagnosis, Differential Human Reaction Time/*PHYSIOLOGY Speech Disorders/DIAGNOSIS/*PHYSIOPATHOLOGY Speech Production Measurement Verbal Behavior/PHYSIOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).