I have not come across this, specifically, but my decades of dealing with all sorts of software have shown me that, over time, a lot of software that's been updated, and particularly repeatedly, via "install over" updates often gets wonky.
If/when they do, I simply uninstall them entirely using Control Panel, then install the updated version separately afterward. This solves these issues in almost all cases.
NVDA makes this particularly easy, since your user data is stored in your own AppData folder, so any configuration changes you've made, add-ons you've installed, etc., are all still there when you do a fresh install.
Brian - Windows 10 Pro, 64-Bit, Version 2004, Build 19041
It’s hard waking up and realizing it’s not always black and white.
~ Kelley Boorn