What is Mild Cognitive Impairment (MCI)?

Mild cognitive impairment (MCI) occurs when you notice a small  but apparent drop in mental abilities compared to your peers. Mental abilities are:

  • Mental Memory.
  • Reason and judgment.
  • Completing and planning complex tasks.

You might feel the drop, or someone you know might notice. But the changes aren't strong enough to affect daily routine activities of life.

Does MCI always result in dementia?

Some individuals with MCI later develop dementia, but others do not. For some neurodegenerative diseases, MCI may be an early phase of the disease. Neurodegenerative diseases impact your brain and worsen over time. Alzheimer's disease and Parkinson's disease are two such examples. Some individuals with MCI return to normal cognition for their age or stay stable.

How prevalent is mild cognitive impairment?

The American Academy of Neurology estimates that mild cognitive impairment occurs in the following groups:

  • 8% of individuals between the ages of 65 and 69.
  • 15% of individuals between the ages of 75 and 79.
  • 25% of individuals between the ages of 80 and 84.
  • 37% of individuals 85 years and older.

What are the signs and Symptoms of mild cognitive impairment?

The most important signs and Symptoms of mild cognitive impairment is a mild reduction in mental capabilities. Examples include:

  • Memory loss: You might forget recent things that happened or repeat the same stories and questions. You might forget the names of your friends and family members occasionally or forget about appointments or events that you have scheduled. You might lose things more frequently than before.
  • Language difficulties: You might struggle to find the appropriate words. You might struggle with reading and hearing information as much as you previously did.
  • Attention: You might become more easily distracted or lose your focus more easily than you once did.
  • Reasoning and judgment: You might struggle with decision-making and problem-solving.
  • Complex planning: You might find it harder to plan and/or carry out complex activities, such as paying bills, taking medications, shopping, cooking, house cleaning, and driving.

Difficulty with movement and impaired sense of smell are also associated with MCI.

What causes mild cognitive impairment?

Mild cognitive impairment can have a number of potential causes. Some can be treated, and some can't.

Some potential causes are:

  • Depression, ongoing stress, and anxiety.
  • Thyroid, kidney, or liver disease.
  • Sleep apnea and other sleep disorders.
  • Conditions that interfere with the flow of blood to your brain, such as tumors, blood clots, stroke, or traumatic brain injury.
  • Vitamin B12 deficiency or other nutrient deficiencies.
  • An infection, such as a UTI.
  • Side effects of certain drugs, such as calcium channel blockers, anticholinergic medications, benzodiazepines, and others.
  • Substance use disorder and alcohol use disorder.

MCI is frequently an early phase of some neurodegenerative diseases. MCI may be an early phase of:

  • Alzheimer's disease.
  • Parkinson's disease.
  • Lewy body dementia.
  • Vascular dementia.
  • Frontotemporal dementia.

What are the risk factors for mild cognitive impairment?

The strongest risk factors for mild cognitive impairment are the same as for dementia:

  • Being 65 or older.
  • Having a biological family history of dementia.
  • Having conditions that increase your risk of cardiovascular disease, including high blood pressure, high cholesterol levels, diabetes, and obesity.

How is mild cognitive impairment diagnosed?

It can be hard to confirm a diagnosis of mild cognitive impairment. MCI can be an early sign of several conditions, and its symptoms often appear in other illnesses too.Your healthcare provider will:

  • Ask about your symptoms.
  • Ask about your medical history.
  • Check your current medications.
  • Ask about your family history of major memory issues or dementia.
  • Do a physical exam and mental status exam.
  • Get feedback from a family member or close friend on whether your mental functions have changed.

They may also prescribe the following tests:

  • Lab tests: Your doctor can request blood or urine tests to search for evidence of infection or inflammation. He or she can also test your thyroid hormone levels and for vitamin B12 deficiency. On occasion, doctors order cerebrospinal fluid tests (spinal tap) to screen for autoimmune disorders and neurodegenerative illnesses.
  • Imaging studies: Computed tomography (CT) and magnetic resonance imaging (MRI) studies search for signs of brain damage, including stroke, bleeding, tumors, and fluid in the brain.
  • Neuropsychological testing: These are a series of verbal and written tests that test your mental function, such as general intellect, language use, memory, learning, and more.

Neurologists and doctors who treat individuals 65 and older (geriatricians) can help make a diagnosis of mild cognitive impairment.

How is mild cognitive impairment treated?

The treatment for MCI varies depending on the underlying reason, if known. Yet, certain types of MCI due to neurodegenerative disorders cannot be treated. But in case your mental changes are due to reversible causes such as infection, sleep disorders, mood, or side effects of medications, your doctor will devise a treatment plan.

The U.S. Food and Drug Administration (FDA) has not yet approved any drugs to treat mild cognitive impairment directly. However, there are treatment regimens that involve nonmedication therapy to enhance cognition. They depend on the cause of MCI. Researchers are optimistic that medications for Alzheimer's disease may also be beneficial for MCI. They are researching this.

Researchers are currently studying treatment options for MCI. You may be able to participate in a clinical trial. Discuss your options with your provider.

Can I prevent mild cognitive impairment?

Not all instances of MCI can be prevented. But you can take steps to try to keep your brain healthy and lower your chances of MCI, such as:

  • Not smoking or quitting smoking.
  • Not drinking alcohol or drinking it only in moderation.
  • Eating a well-balanced and healthy diet.
  • Regular exercise.
  • Having healthy blood pressure, cholesterol, and blood sugar levels.
  • Reducing and managing stress.
  • Sleeping well.
  • Brain exercise by solving puzzles, reading, learning new things, and the like.
  • Social activities.
  • Visiting your healthcare provider regularly to control any chronic conditions you may have.

What is the prognosis for mild cognitive decline?

The outlook for mild cognitive impairment depends on the cause and other factors. Scientists are still discovering more about this condition.

Research indicates that approximately 15% of individuals with MCI aged over 65 years developed dementia within two years of the original MCI diagnosis. Research also indicates that approximately 14% to 38% of individuals with MCI reverted to their normal level of cognition.

The pace of decline in a person with mild cognitive impairment is usually based on the cause. Researchers continue to examine the mental and medical changes that happen in individuals with MCI. They look forward to being able to predict, someday, who may be at higher risk for developing and how fast they develop certain forms of dementia.

What should I do to take care of myself if I have mild cognitive impairment?

If you receive an MCI diagnosis, you might consider discussing your future with your doctor and anyone you feel comfortable with. You should especially consider this if your doctor believes that your MCI is a precursor to a neurodegenerative disease, such as Alzheimer's. Talking through these issues is crucial because it can ensure your caregiver or advocates are able to fulfill your wishes if you are unable to make decisions for yourself in the future.

Along with those discussions, you need to place your wants and choices in writing. That also involves creating documents related to the law and what occurs if you are unable to take care of yourself or make decisions on your behalf for your care or well-being.

Why choose Tender Palm Super-Speciality Hospital for Mild Cognitive Impairment Treatment in Lucknow, India?

Tender Palm Super-Speciality Hospital offers advanced Mild Cognitive Impairment treatment in Lucknow, India, at an affordable cost. We have a team of experienced neurologists and geriatric care specialists who provide accurate diagnosis and treatment options including cognitive assessment, memory rehabilitation, and comprehensive lifestyle-based intervention procedures. Our Neurology and Geriatric Care team has decades of experience in successfully treating Mild Cognitive Impairment in Lucknow, India.

To seek an Expert Consultation for Mild Cognitive Impairment Treatment in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

Request an Appointment
Mon - Sat 9:00 AM to 6:00 PM IST

Our Experts

Awards & Accreditations