- Last edited on January 2, 2024
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cl:3-mild-neurocog-disorder [on March 20, 2019] |
cl:3-mild-neurocog-disorder [on April 25, 2020] |
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====== Mild Neurocognitive Disorder / Mild Cognitive Impairment (MCI) ====== | ====== Mild Neurocognitive Disorder / Mild Cognitive Impairment (MCI) ====== | ||
+ | {{INLINETOC}} | ||
===== Primer ===== | ===== Primer ===== | ||
**Mild Neurocognitive Disorder** (also known as **Mild Cognitive Impairment**, or MCI) is a condition in which individuals demonstrate cognitive impairment with minimal impairment of instrumental activities of daily living (IADLs). Although it can be the first cognitive sign of [[geri:dementia:alzheimers|]], it can also be secondary to other disease processes (e.g. - neurologic, other neurodegenerative disorders, systemic, infectious, or psychiatric disorders). When there is //significant// impairment to daily function, a [[cl:2-major-neurocog-disorder|major neurocognitive disorder]] needs to be considered instead. | **Mild Neurocognitive Disorder** (also known as **Mild Cognitive Impairment**, or MCI) is a condition in which individuals demonstrate cognitive impairment with minimal impairment of instrumental activities of daily living (IADLs). Although it can be the first cognitive sign of [[geri:dementia:alzheimers|]], it can also be secondary to other disease processes (e.g. - neurologic, other neurodegenerative disorders, systemic, infectious, or psychiatric disorders). When there is //significant// impairment to daily function, a [[cl:2-major-neurocog-disorder|major neurocognitive disorder]] needs to be considered instead. | ||
+ | |||
===== Diagnostic Criteria ===== | ===== Diagnostic Criteria ===== | ||
<WRAP group> | <WRAP group> | ||
<WRAP half column> | <WRAP half column> | ||
== Criterion A == | == Criterion A == | ||
- | Evidence of **//modest//** cognitive decline from a previous level of performance in one or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual motor, or social cognition) based on: | + | Evidence of **//modest//** cognitive decline from a previous level of performance in ''1'' or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual motor, or social cognition) based on: |
- Concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and | - Concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and | ||
- A substantial impairment in cognitive performance, preferably documented by standardized neuropsychological testing or, in its absence, another quantified clinical assessment. | - A substantial impairment in cognitive performance, preferably documented by standardized neuropsychological testing or, in its absence, another quantified clinical assessment. | ||
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<panel icon="fa fa-signal" size="xs" title="Behaviour Specifier"> | <panel icon="fa fa-signal" size="xs" title="Behaviour Specifier"> | ||
**Specify:** | **Specify:** | ||
- | * **Without behavioral disturbance**: If the cognitive disturbance is not accompanied by any clinically significant behavioral disturbance. | + | * **Without behavioural disturbance**: If the cognitive disturbance is not accompanied by any clinically significant behavioral disturbance. |
* **With behavioural disturbance** (//specify disturbance//): If the cognitive disturbance is accompanied by a clinically significant behavioural disturbance (e.g., psychotic symptoms, mood disturbance, agitation, apathy, or other behavioural symptoms). | * **With behavioural disturbance** (//specify disturbance//): If the cognitive disturbance is accompanied by a clinically significant behavioural disturbance (e.g., psychotic symptoms, mood disturbance, agitation, apathy, or other behavioural symptoms). | ||
</panel> | </panel> |