Mayo Clinic Talks

Mild Cognitive Impairment

Nov 4, 2025
Ronald C. Petersen, M.D., Ph.D., a leading neurologist and dementia expert, joins the discussion on mild cognitive impairment (MCI). He clarifies how MCI differs from normal aging and dementia, emphasizing its various causes and the importance of early diagnosis. Dr. Petersen highlights the effectiveness of mental status tests for detection and reviews reversible conditions that may mimic MCI. He also discusses innovative treatment options and the potential of combination therapies to improve patient outcomes, shedding light on the future of dementia care.
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INSIGHT

MCI Is A Distinct Clinical Syndrome

  • Mild cognitive impairment (MCI) is a syndrome between normal aging and dementia, not a single diagnosis.
  • MCI often features memory complaints while daily function remains largely preserved.
INSIGHT

Normal Aging Versus Pathologic Change

  • Aging commonly causes slowed processing, reduced multitasking, and short-term memory lapses.
  • Distinguish typical age changes from patterns of decline that suggest MCI by tracking frequency and severity.
INSIGHT

MCI Prevalence And Progression Rates

  • MCI prevalence in older adults is roughly 10–16% and progression to dementia runs about 8–15% per year.
  • Clinical populations progress faster than random community samples, so context matters.
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