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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Förstl, H; Bickel, H; Frölich, L; Gertz, HJ; Kurz, A; Marksteiner, J; Monsch, AU; Pantel, J; Schmidt, R; Schönknecht, P.
Mild cognitive impairment with predictors of rapid decline
Dtsch Med Wochenschr. 2008; 133(9):431-436 Doi: 10.1055/s-2008-1046730
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Co-Autor*innen der Med Uni Graz
Schmidt Reinhold
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Abstract:
Half the patients with mild cognitive impairment (MCI) will develop dementia over a four-year period. The scientific literature was searched and analysed for predictors of rapid decline (MCI-plus) in patients with MCI. The most important predictors of fast cognitive deterioration were found to be: old age, previous rapid decline, severity and multiplicity of cognitive deficits, somatic co-morbidity, vascular and Alzheimer-type changes in the brain, Alzheimer-type cerebrospinal fluid findings and apolipoprotein E4 polymorphism. Many patients with MCI suffer from anxiety, depression or apathy and subtle, but subjectively significant, difficulties in the activities of daily living. It is concluded that MCI-plus offers a window for medical and psychological prophylaxis and rehabilitation.
Find related publications in this database (using NLM MeSH Indexing)
Age Factors -
Apolipoprotein E4 - genetics
Brain - pathology
Cerebrospinal Fluid - chemistry
Cognition Disorders - diagnosis
Comorbidity -
Dementia - etiology
Humans -
Polymorphism, Genetic -
Predictive Value of Tests -
Prognosis -
Severity of Illness Index -
Time Factors -

Find related publications in this database (Keywords)
mild cognitive impairment
MCI-plus
Alzheimer's dementia
neuropsychology
progression
prophylaxis
rehabilitation
anti-dementia treatment
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