Mild cognitive impairment

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Classification according to ICD-10
F06.7 Mild cognitive disorder
ICD-10 online (WHO version 2019)

Slight cognitive impairment (LKB; also mild cognitive disorder ; English: Mild cognitive impairment , MCI) describes an impairment of the mental performance that goes beyond what is normal according to the age and education of the person concerned, but does not represent a significant handicap in everyday life. LKB can occasionally be interpreted as beginning dementia . It is encoded in the ICD-10 diagnostic system under F06.7 ( mild cognitive disorder) in the chapter Other mental disorders due to damage or dysfunction of the brain or a physical illness .

Symptoms

The sick person is mostly concerned about their memory (“I keep forgetting more!”), Which is also perceived by the relatives. He is prone to brooding and even depression. There are objectifiable memory disorders . In addition, there may be deficits in language, planning and spatial perception. Odor disorders are common . Everyday activities are intact.

Diagnosis

Diagnostic imaging such as computed tomography or magnetic resonance tomography shows a slight mediotemporal atrophy as well as lesions in the white matter .

The Montreal Cognitive Assessment (MoCA) is a quick test procedure .

Differential diagnostics

  • Age-related cognitive decline, also "old age forgetfulness ": here the complaints about forgetting can hardly be noticed by the relatives. In addition, there is often a slight hearing and visual impairment. There are no behavioral problems.
  • Depression in old age
  • the different forms and manifestations of dementia

criticism

The LKB as a term is criticized because it can only be seen as a very vague distinction between the "age-related normal" and an actual illness.

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Web links

Individual evidence

  1. mocatest.org Montreal Cognitive Assessment, Test, Instructions. Retrieved October 31, 2010.
  2. Jörg Auf dem Hövel: A people of stupid people. on: heise.de , Bog Telepolis, September 1, 2007.