Mild neurocognitive disorder due to unknown etiology
I have had two batteries over two years of neuropsych testing and the persistent assessment is ‘mild neurocognitive disorder due to unknown etiology, but not felt to be consistent with Alzheimer’s disease’.
The only area of testing where I had difficulty were visual-spatial tasks (discrimination, drawing, visual memory). When copying a detailed figure, my drawing was missing multiple components and was distorted.
There was no evidence of difficulties with verbal learning or memory.
I had two bizarre episodes in 2024. Abruptly my visual field shifted 90 degrees and lasted anout 30-45 seconds. . I was NOT DIZZY , in spite of doc saying ‘oh thats vestibular - not uncommon in geriatrics’. SO off I go to ENT - where they were unable to produce any vestibular reaction to postural changes. The ophthalmologist said he would send me to Duke if it happened again. But it has not
It’s a mystery!!
The only thing relevant in my MRI was small chronic white matter infarcts. My ATN indicates Alzheimer’s pathology on board. I have one instance of ETOH4.
Does anyone have anything similar?? I am trying to get in as a new patient to the Duke/UNC Neurology lab but fear i am just another old lady whose brain doesn't work as well as it once did.
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I think you have to try all avenues available to get to the bottom of your problem second opinions if insurance allows. Advocate for yourself. I have MCI mild cognitive impairment my neurologist put me on Aricept. I see a neurologist for MS so I know the cause of my MCI.
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3 Reactions@ladybugg many thanks. I expect that I am not likely to have a single factor. I know from my ATN test that i have amyloid plaque & tau tangles associated with Alzheimer’s. Concurrently I have visuo-spatial deficit according to neuropsychological testing. I am just curious whether others have this multi-factor dynamic at play.
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