Neuropsychological markers of mild cognitive impairment: A clinic based study from urban India

Ann Indian Acad Neurol. 2015 Apr-Jun;18(2):177-80. doi: 10.4103/0972-2327.150566.

Abstract

Background: Mild cognitive impairment (MCI) is a transitional stage between normal aging and dementia. Persons with MCI are at higher risk to develop dementia. Identifying MCI from normal aging has become a priority area of research. Neuropsychological assessment could help to identify these high risk individuals.

Objective: To examine clinical utility and diagnostic accuracy of neuropsychological measures in identifying MCI.

Materials and methods: This is a cross-sectional study of 42 participants (22 patients with MCI and 20 normal controls [NC]) between the age of 60 and 80 years. All participants were screened for dementia and later a detailed neuropsychological assessment was carried out.

Results: Persons with MCI performed significantly poorer than NC on word list (immediate and delayed recall), story recall test, stick construction delayed recall, fluency and Go/No-Go test. Measures of episodic memory especially word list delayed recall had the highest discriminating power compared with measures of semantic memory and executive functioning.

Conclusion: Word list learning with delayed recall component is a possible candidate for detecting MCI from normal aging.

Keywords: Cognitive marker; cognitive test; memory assessment; mild cognitive impairment.