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</div><div><span>Neurocognitive disorder</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Neurocognitive disorder</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Neurocognitive disorder is a general term that describes decreased mental function due to a medical disease other than a psychiatric illness.</p><p>Neurocognitive disorders are grouped into three subcategories:</p><ul><li><a test="test" href="./000740.htm">Delirium</a>.</li><li>Mild neurocognitive disorder - some decreased mental function, but able to stay independent and do daily tasks.</li><li>Major neurocognitive disorder - decreased mental function and loss of ability to do daily tasks. Also called <a test="test" href="./000739.htm">dementia</a>.</li></ul></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Listed below are conditions associated with neurocognitive disorder.</p><p>BRAIN INJURY CAUSED BY TRAUMA</p><ul><li>Bleeding into the brain (intracerebral hemorrhage)</li><li>Bleeding into the space around the brain (<a test="test" href="./000701.htm">subarachnoid hemorrhage</a>)</li><li>Blood clot inside the skull but outside the brain and its covering, which may cause pressure on the brain (<a test="test" href="./000781.htm">subdural hematoma</a> or <a test="test" href="./001412.htm">epidural hematoma</a>)</li><li><a test="test" href="./000799.htm">Concussion</a></li></ul><p>BREATHING CONDITIONS</p><ul><li>Low oxygen in the body (hypoxia)</li><li>High carbon dioxide level in the body (hypercapnia) </li></ul><p>CARDIOVASCULAR DISORDERS </p><ul><li>Dementia due to many strokes (<a test="test" href="./000746.htm">multi-infarct dementia</a>)</li><li>Heart infections (<a test="test" href="./001098.htm">endocarditis</a>, <a test="test" href="./000149.htm">myocarditis</a>)</li><li><a test="test" href="./000726.htm">Stroke</a></li><li><a test="test" href="./000730.htm">Transient ischemic attack</a> (TIA)</li></ul><p>DEGENERATIVE DISORDERS</p><ul><li><a test="test" href="./000760.htm">Alzheimer disease</a> (also called senile dementia, Alzheimer type)</li><li><a test="test" href="./000788.htm">Creutzfeldt-Jakob disease</a></li><li>Diffuse Lewy body disease</li><li><a test="test" href="./000770.htm">Huntington disease</a></li><li><a test="test" href="./000752.htm">Normal pressure hydrocephalus</a></li><li><a test="test" href="./000755.htm">Parkinson disease</a></li><li><a test="test" href="./000744.htm">Pick disease</a></li></ul><p>AUTOIMMUNE DISEASES</p><ul><li><a test="test" href="./000737.htm">Multiple sclerosis</a></li><li>Autoimmune encephalitis</li></ul><p><a test="test" href="./000683.htm">DEMENTIA DUE TO METABOLIC CAUSES</a></p><ul><li><a test="test" href="./000471.htm">Kidney disease</a></li><li><a test="test" href="./000205.htm">Liver disease</a></li><li>Thyroid disease (<a test="test" href="./000356.htm">hyperthyroidism</a> or <a test="test" href="./000353.htm">hypothyroidism</a>)</li><li>Vitamin deficiency (B1, B12, or folate) </li></ul><p>DRUG AND ALCOHOL-RELATED CONDITIONS</p><ul><li><a test="test" href="./000764.htm">Alcohol withdrawal state</a></li><li>Intoxication from drug or <a test="test" href="./000944.htm">alcohol use</a></li><li>Medicine effect, such as corticosteroids, sedative-hypnotics, antihistamines, and antidepressants<br/></li><li><a test="test" href="./000771.htm">Wernicke-Korsakoff syndrome</a>, a long-term effect of deficiency of thiamine (vitamin B1)</li><li>Withdrawal from medicines, such as sedative-hypnotics and corticosteroids</li></ul><p>INFECTIONS</p><ul><li>Any sudden onset (<a test="test" href="./002215.htm">acute</a>) or long-term (<a test="test" href="./002312.htm">chronic</a>) infection</li><li>Blood poisoning (<a test="test" href="./001355.htm">septicemia</a>)</li><li>Brain infection (<a test="test" href="./001415.htm">encephalitis</a>)</li><li><a test="test" href="./000680.htm">Meningitis</a> (infection of the lining of the brain and spinal cord)</li><li>Prion infections, such as mad cow disease</li><li>Late-stage syphilis </li></ul><p>Complications of cancer and cancer treatment with chemotherapy and radiation therapy to the brain can also lead to neurocognitive disorder.</p><p>Other conditions that may mimic neurocognitive disorder include:</p><ul><li><a test="test" href="./003213.htm">Depression</a></li><li>Neurosis</li><li><a test="test" href="./001553.htm">Psychosis</a></li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Symptoms</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Symptoms can differ based on the disease. In general, neurocognitive disorder causes:</p><ul><li><a test="test" href="./003212.htm">Agitation</a></li><li><a test="test" href="./003205.htm">Confusion</a></li><li>Long-term loss of brain function (mild cognitive impairment or dementia)</li><li>Severe, short-term loss of brain function (delirium) </li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Exams and Tests</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>Tests depend on the disorder, but may include:</p><ul><li>
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Blood tests
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</li><li>Neuropsychological testing</li><li><a test="test" href="./003931.htm">Electroencephalogram</a> (EEG)
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</li><li><a test="test" href="./003786.htm">Head CT scan</a></li><li><a test="test" href="./003791.htm">Head MRI</a> </li><li><a test="test" href="./003428.htm">Lumbar puncture</a> (spinal tap)</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Treatment</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Treatment depends on the underlying condition. Many conditions are treated mainly with rehabilitation and supportive care to help the person with activities lost due to areas where brain function is affected.</p><p>Medicines may be needed to reduce aggressive behaviors that can occur with some of the conditions.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Outlook (Prognosis)</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>Some disorders are short-term and reversible. But many are long-term or get worse over time.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Possible Complications</h2></div><div class="section-button"><button type="submit" aria-controls="section-6" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-6"><p>People with neurocognitive disorder often lose the ability to interact with others or function on their own.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2> When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-7" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-7"><p>Contact your health care provider if:</p><ul><li>You have been diagnosed with neurocognitive disorder and you are uncertain about the exact disorder.</li><li>You have symptoms of this condition.</li><li>You have been diagnosed with neurocognitive disorder and your symptoms become worse.</li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Organic mental disorder (OMS); Organic brain syndrome</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Beck BJ, Smith FA, Stern TA. Mental disorders due to another medical condition. In: Stern TA, Wilens TE, Fava M, eds. <em>Massachusetts General Hospital Comprehensive Clinical Psychiatry</em>. 3rd ed. Philadelphia, PA: Elsevier; 2025:chap 21.</p><p>Inouye SK. Delirium and changes in mental status. In: Goldman L, Cooney KA, eds. <em>Goldman-Cecil Medicine</em>. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 361.</p><p>Knopman DS. Cognitive impairment and dementia. In: Goldman L, Cooney KA, eds. <em>Goldman-Cecil Medicine</em>. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 371.</p><p>Merrick ST, Glesby MJ. Systemic manifestations of HIV/AIDS. In: Goldman L, Cooney KA, eds. <em>Goldman-Cecil Medicine</em>. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 359.</p><p>Sorg EM, Jankauskaite G, Jacobs J. Psychiatric co-morbidities and complications of cancer and cancer treatment. In: Stern TA, Wilens TE, Fava M, eds. <em>Massachusetts General Hospital Comprehensive Clinical Psychiatry</em>. 3rd ed. Philadelphia, PA: Elsevier; 2025:chap 46.</p></div></div></section>
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