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Navigation: SOS Sisson > Traumatic Injury Blog
Jack Sisson's TBI Blog
A hug is duct tape for the soul.
Tuesday, January 27, 2009
Concussions No Longer Innocuous...or Invisible
Concussions confer tremendous brain damage," reports CNN. That's the latest finding from the Center for the Study of Traumatic Encephalopathy (CSTE), at the Boston University School of Medicine. From a Boston University press release:
Leading medical experts at the Center for the Study of Traumatic Encephalopathy (CSTE) at Boston University School of Medicine (BUSM) reported today that nine-year NFL veteran, former Tampa Bay Buccaneer Tom McHale was suffering from chronic traumatic encephalopathy (CTE), a degenerative brain disease caused by head trauma, when he died in 2008 at the age of 45. In addition, the CSTE has discovered early evidence of CTE in the youngest case to date, a recently deceased 18-year-old boy who suffered multiple concussions in high school football.Jack has argued for many years that concussions were more serious than popular opinion made them out to be. In fact, he was concerned enough to found a study at his prep school alma mater that administers neuropsychiatric tests to every incoming athlete. This serves as the baseline for future tests. Then, if a student athlete suffers a head injury, a subsequent test could presumably measure the extent, if any, of brain damage.
The discovery of the initial stages of CTE in an 18-year-old should move the discussion of football's concussion crisis toward youth football. The identity of the 18-year-old will not be revealed at the family's request. According to Cantu who wrote the first return-to-play guidelines, "Our efforts to educate athletes, coaches, and parents on the need to identify and rest concussions have only been moderately successful because people have been willing to look the other way when a child suffers a concussion. I hope the discovery of CTE in a child creates the urgency this issue needs. It is morally and ethically wrong to allow our children to voluntarily suffer this kind of brain trauma without taking the simple educational steps needed to protect them."By the way, Jack doesn't limit his concerns to athletes. He thinks everyone should be tested as part of routine medical care.
According to the results of the study:
McHale, a Cornell University graduate, former restaurateur, husband and father of three boys, is the sixth former NFL player to be diagnosed post-mortem with CTE since 2002. CTE, a progressive neurodegenerative disease caused by repetitive trauma to the brain, is characterized by the build-up of a toxic protein called tau in the form of neurofibrillary tangles (NFTs) and neuropil threads (NTs) throughout the brain. The abnormal protein initially impairs the normal functioning of the brain and eventually kills brain cells. Early on, CTE sufferers may display clinical symptoms such as memory impairment, emotional instability, erratic behavior, depression and problems with impulse control. However, CTE eventually progresses to full-blown dementia. McHale died due to a drug overdose after a multi-year battle with addiction. Expert consensus is that drug abuse of any kind would never cause the neuropathological findings of CTE seen in McHale.We encourage you to read the entire press release.
Sunday, February 03, 2008
Is there a brain injury in your (or your child's) past?
Researchers studying brain injury believe that people with unrelated social or cognitive problems may have something in common: a long-forgotten blow to the head. It is widely accepted that severe head injuries can lead to cognitive and behavioral problems. What is new, according to brain researchers Wayne A. Gordan, M.D. and Mary Hibbard, Ph.D., is the contention that there are many other cases where a past blow to the head resulting in unconsciousness or confusion is the unrecognized source of such problems. These problems include learning disabilities, alcoholism, drug abuse, and depression.
Dr Gordon, director of Brain Injury Research Center at Mount Sinaii School of Medicine in New York, says, "[unidentified traumatic brain injury is an unrecognized major source of social and vocational failure." According to one researcher, "[when you look at children with learning disabilities or behavior problems, there's often an underlying high percentage of children with traumatic brain injury. We're looking at about 20%."
Saturday, January 26, 2008
Sports teams turn to ImPACT for concussion diagnosis & management
From the ImPACT Web site:
In the United States, the annual incidence of sports-related concussion is estimated at 300,000. Estimates regarding the likelihood of an athlete in a contact sport experiencing a concussion may be as high as 19% per season. Although the majority of athletes who experience a concussion are likely to recover, an as yet unknown number of these individuals may experience chronic cognitive and neurobehavioral difficulties related to recurrent injury. Such symptoms may include chronic headaches, fatigue, sleep difficulties, personality change (e.g. increased irritability, emotionality), sensitivity to light/noise, dizziness when standing quickly, and deficits in short-term memory, problem solving and general academic functioning. This constellation of symptoms is referred to "Post-Concussion Syndrome" and can be quite disabling for an athlete. In some cases, such difficulties can be permanent and disabling. In addition to Post-Concussion Syndrome, suffering a second blow to the head while recovering from an initial concussion can have catastrophic consequences as in the case of "Second Impact Syndrome," which has led to approximately 30-40 deaths over the past decade.
Tuesday, June 12, 2007
Authors of NFL Study Disagree with Concussion Finding
N.Y. Times, June 10, 2007 --
For several years, many medical experts have maintained that high school football players who sustain concussions should not return to the games in which they are injured. So when doctors commissioned by the National Football League published a study two years ago concluding “it might be safe” for such players to do so, the assertion sparked widespread criticism. Now the criticism is coming from authors of the paper itself.Continuing reading the article.
Thursday, May 31, 2007
New Study Ties Concussions to Depression in Ex-NFL Players
New York Times, May 31, 2007 --
The rate of diagnosed clinical depression among retired National Football League players is strongly correlated with the number of concussions they sustained, according to a study to be published today.Read the complete article here.
Also, don't miss this site for more information about head injuries and football (from youth ball to the NFL).
Saturday, March 10, 2007
Is NFL doing all it should to study players' brain injuries?
The NFL's Committee on Mild Traumatic Brain Injury (TBI) has come under fire from several sources reports the Baltimore Sun. The flack started last fall when ESPN The Magazine published an article critical of the committee's report and said "the committee skewed its data to minimize the effect and nature of concussions," a charge rejected as "totally false" by Dr. Andrew Tucker, a member of the committee since 1994 and a Ravens team physician.
Among its criticisms, the magazine said Dr. Elliot Pellman, who recently resigned as committee chair, "omitted large numbers of baseline reports from neuropsychological testing in a six-year study to arrive at figures more favorable to the league."
"People on the outside see it as industry-funded research and research that is not as accurate or sound as it should be," said Dr. Kevin Guskiewicz, the research director of the Center for the Study of Retired Athletes at the University of North Carolina, which has been criticized by Pellman's group for some of its work.Read the entire article here and then tell us what you think. Is the NFL doing enough to protect its players and provide for them long term?
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