“…However, there was less GMV across many brain regions in those with HAND compared to controls and unimpaired PWH, including the inferior and middle temporal gyri, superior medial frontal gyri, amygdala, hippocampus, entorhinal cortices, fusiform gyri, posterior cingulate gyri, and the planum temporale. Interestingly, lower nadir CD4 levels have been associated with decreased subcortical GMV, and the greater the disparity between nadir CD4 and current normal CD4 counts, the worse the structural integrity of the brain ( Jernigan et al, 2011 , Martín-Bejarano García et al, 2021 , Nir et al, 2021 ). Though we did not observe significant sex and group differences in nadir CD4 and current CD4 counts, females with HAND had a greater numerical disparity between nadir CD4 and current CD4 counts than males with HAND.…”