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Karger Publishers, Dementia and Geriatric Cognitive Disorders, 1(22), p. 27-34, 2006

DOI: 10.1159/000093101

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Progression to Dementia in Clinical Subtypes of Mild Cognitive Impairment

Journal article published in 2006 by P. Alexopoulos, T. Grimmer, R. Perneczky, G. Domes ORCID, A. Kurz
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

<i>Objective:</i> To examine the outcome among patients diagnosed with different types of mild cognitive impairment (MCI). <i>Patients:</i> A follow-up examination (average follow-up period: 3.49 ± 2.2 years) was performed in 81 cognitively impaired, non-demented patients aged >55 years at baseline. <i>Results:</i> 8 of 32 patients with amnestic MCI (25%), 22 of 41 patients with multiple-domain MCI (54%), and 3 of 8 patients with single non-memory MCI (37.5%) progressed to dementia. The clinical type of MCI is significantly associated with the likelihood of conversion to dementia. <i>Discussion:</i> When the clinical syndrome of MCI evolves on a neurodegenerative basis, the multiple-domain type of MCI has a less favorable prognosis than the amnestic type and may represent a more advanced prodromal stage of dementia.