Mild Cognitive Impairment

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When superficial siderosis patients begin to exhibit a noticeable and measurable decline in cognitive abilities, including memory and thinking skills, your physician may feel it is time to screen for Mild Cognitive Impairment.  These changes are most noticeable to family members and friends of the person affected. While these changes are problematic, MCI will not affect your ability to carry out everyday activities. Depression is known to amplify cognitive problems.

Superficial Siderosis patients with a current MRI showing cerebellar atrophy may experience episodes of:

    • Impaired recall of new facts
    • Difficulty with planning, organizing, and completing tasks
    • Initiating a new task and keeping their focus on the task
    • Difficulty keeping your thoughts in the proper sequence

Cognitive function is evaluated by the administration of either the Mini-Mental State Examination (MMSE) or the Saint Louis University Mental Status Examination (SLUMS). Both tests consist of 11 questions in two sections: the first part addresses orientation, attention, and memory, with the second addressing verbal and written skills. An overall score between zero and 30 is possible.

    • A score of 27- 30 is indicative of normal cognitive function
    • A score of 21-26 indicates mild cognitive impairment
    • A score between 1-20 indicates a diagnosis of dementia

 

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