What are the boundary zones between normal aging and Alzheimers disease (AD)? Are many elderly people whom we regard as normal actually in the early stages of AD? Alzheimers disease does not develop overnight; the early phases may last for years or even decades. Recently, clinical investigators have identified a transitional condition between normal aging and and very early Alzheimers disease that they have called mild cognitive impairment, or MCI. This term typically refersto memory impairment beyond what one would expect in individuals of a given age whose other abilities to function in daily life are well preserved. Persons who meet the criteria for mild cognitive impairment have an increased risk of progressing to Alzheimers disease in the near future. Though manyquestions about this condition and its underlying neuropathology remain open, full clinical trials are currently underway worldwide aimed at preventing the progression from MCI to Alzheimers disease. This book addresses the spectrum of issues involved in mild cognitive impairment, and includes chapters on clinical studies, neuropsychology, neuroimaging, neuropathology, biological markers, diagnostic approaches, and treatment. It is intended for clinicians, researchers, and studentsinterested in aging and cognition, among them neurologists, psychiatrists, geriatricians, clinical psychologists, and neuropsychologists.
Conceptual Overview; Clinical features; Neuropsychiatric symptoms; Normative neuropsychology in ageing and Mild Cognitive Impairment; Optimizing cognitive test norms for detection; Magnetic resonance imaging; Functional imaging; Spectrum of pathology; Neuropathological changes in normal aging, mild cognitive impairment and Alzheimers disease; Biological markers; Clinical evaluation; Treatment of mild cognitive impairment and prospects for prevention of Alzheimers disease;
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