Learn More About Mild Cognitive Impairment
Studies report approximately 12-18% of people age 60 or older have some level of Mild Cognitive Impairment (MCI). So how do you know if you are one of them? The first step to diagnosing MCI typically comes after a person starts to complain of forgetfulness or cognitive problems, or initiated at the urging of family members. Doctors explain it is usually more serious if it comes at the request of those closest to the person because as a person develops more of the signs of Alzheimer’s disease, they are often not aware of their memory loss.
Your doctor will begin with a thorough evaluation to try and determine if the problem is MCI, Alzheimer’s disease, normal age-related memory loss, or caused by another factor. It is important to note not all cases of MCI develop into dementia and an evaluation could identify medications as the problem. A Harvard Medical School article states, “Establishing the cause and scope of the impairment is helpful in setting a baseline for future evaluations to determine if the condition is progressing to dementia.”
Some of the preliminary tests include a complete blood workup to rule out anemia, infection, kidney and liver disorders, or diabetes. Other tests may check for thyroid abnormalities, elevated blood calcium and vitamin B12 deficiencies.
Cognitive tests begin with an in-depth medical history as well as questions regarding the person’s memory lapses and other thinking problems. Your physician will probably request a family member be there to reaffirm and document the changes.
Your physician may refer you to a neuropsychologist for more tests including paper and pen and computer tests to assess memory, language and other cognitive skills including motor and visual function. If deemed necessary, they may do structural and functional brain scans or an amyloid PET scan, which detects in a living brain the signs of amyloid plaques, the hallmark of neurodegenerative diseases like Alzheimer's.
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Sources: health.harvard.edu/mind-and-mood/evaluating-mci-mild-cognitive-impairment
alz.org/alzheimers-dementia/what-is-dementia/related_conditions/mild-cognitive-impairment