Links for Keyword: Brain Injury/Concussion

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By GRETCHEN REYNOLDS When young athletes sustain concussions, they are typically told to rest until all symptoms disappear. That means no physical activity, reading, screen time, or friends, and little light exposure, for multiple days and, in severe cases, weeks. Restricting all forms of activity after a concussion is known as “cocooning.” But now new guidelines, written by an international panel of concussion experts and published this month in the British Journal of Sports Medicine, question that practice. Instead of cocooning, the new guidelines suggest that most young athletes should be encouraged to start being physically active with a day or two after the injury. “The brain benefits from movement and exercise, including after a concussion,” says Dr. John Leddy, a professor of orthopedics at the Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo, and one of the co-authors of the new guidelines. There has long been controversy, of course, about the best ways to identify and treat sports-related concussions. Twenty years ago, athletes who banged their heads during play were allowed to remain in the practice or game, even if they stumbled, seemed disoriented, or were “seeing stars.” Little was known then about any possible immediate or long-term consequences from head trauma during sports or about the best responses on the sidelines and afterward. Since then, mounting evidence has indicated that sports-related concussions are not benign and require appropriate treatment. The question has been what these appropriate treatments should be. In the early 2000s, dozens of the world’s premier experts on sports-related concussions started meeting to review studies about concussions, with plans to issue a consensus set of guidelines on how best to identify and deal with the condition. © 2017 The New York Times Company

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 23633 - Posted: 05.18.2017

By DAVE PHILIPPS Three-fifths of troops discharged from the military for misconduct in recent years had a diagnosis of post-traumatic stress disorder, traumatic brain injury or another associated condition, according to a report released Tuesday by the Government Accountability Office. The report, mandated by Congress, for the first time combined military medical and staffing data, as well as data from the Department of Veterans Affairs, to show that tens of thousands of wounded troops were kicked out of the armed forces and severed from benefits designed to ease their transition from service in war. “It is everything many of us believed for years” said Kristopher Goldsmith, a veteran who served in Iraq and was discharged for misconduct after a suicide attempt. He is now an assistant director for policy at Vietnam Veterans of America, a veterans advocacy group based in Washington. “Many people didn’t believe that the problem could be this big. Now I hope Congress will direct the resources to making it right.” From 2011 to 2015, according to the report, nearly 92,000 troops were discharged for misconduct — the military equivalent of being fired. Troops can be discharged for reasons like testing positive for drugs or repeatedly showing up late. And in recent years, as the military was downsized, misconduct discharges surged. Of those discharged, 57,000 had a diagnosis of PTSD, traumatic brain injury (known as T.B.I.) or a related condition. About 9,000 were found to have PTSD or T.B.I. But a majority had a personality disorder or an adjustment disorder — diagnoses that count as pre-existing conditions, not war wounds. Critics of the military’s handling of mental health have long accused the military of using such diagnoses to sidestep safeguards put in place for troops with PTSD. © 2017 The New York Times Company

Related chapters from BP7e: Chapter 15: Emotions, Aggression, and Stress; Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 11: Emotions, Aggression, and Stress; Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 23626 - Posted: 05.17.2017

Jon Hamilton A little spit may help predict whether a child's concussion symptoms will subside in days or persist for weeks. A test that measures fragments of genetic material in saliva was nearly 90 percent accurate in identifying children and adolescents whose symptoms persisted for at least a month, a Penn State team told the Pediatric Academic Societies Meeting in San Francisco, Calif. In contrast, a concussion survey commonly used by doctors was right less than 70 percent of the time. If the experimental test pans out, "a pediatrician could collect saliva with a swab, send it off to the lab and then be able to call the family the next day," says Steven Hicks, an assistant professor of pediatrics at Penn State Hershey. Hicks helped develop the test and consults for a company that hopes to market concussion tests. A reliable test would help overcome a major obstacle in assessing and treating concussions, which affect more than one million children and adolescents in the U.S. each year. Many of the injuries are related to sports. In most cases, concussion symptoms last only a few days. But up to 25 percent of young patients "go on to have these prolonged headaches, fatigue, nausea, and those symptoms can last sometimes one to four months," Hicks says. And, right now, there's no way to know which kids are going to have long-term problems, he says. "Parents often say that their biggest concern is, 'When is my child going to be back to normal again?' " Hicks says. "And that's something we have a very difficult time predicting." © 2017 npr

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 23567 - Posted: 05.04.2017

Jon Hamilton The U.S. military is trying to figure out whether certain heavy weapons are putting U.S. troops in danger. The concern centers on the possibility of brain injuries from shoulder-fired weapons like the Carl Gustaf, a recoilless rifle that resembles a bazooka and is powerful enough to blow up a tank. A single round for the Carl Gustaf can weigh nearly 10 pounds. The shell leaves the gun's barrel at more than 500 miles per hour. And as the weapon fires, it directs an explosive burst of hot gases out of the back of the barrel. For safety reasons, troops are trained to take positions to the side of weapons like this. Even so, they get hit by powerful blast waves coming from both the muzzle and breech. "It feels like you get punched in your whole body," is the way one Army gunner described the experience in a military video made in Afghanistan. "The blast bounces off the ground and it overwhelms you." During the wars in Iraq and Afghanistan, the military recognized that the blast from a roadside bomb could injure a service member's brain without leaving a scratch. Hundreds of thousands of U.S. troops sustained this sort of mild traumatic brain injury, which has been linked to long-term problems ranging from memory lapses to post-traumatic stress disorder. Also during those wars, the military began to consider the effects on the brain of repeated blasts from weapons like the Carl Gustaf. And some members of Congress became concerned. © 2017 npr

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 9: Hearing, Vestibular Perception, Taste, and Smell
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 6: Hearing, Balance, Taste, and Smell
Link ID: 23451 - Posted: 04.05.2017

By Des Bieler Brain injuries are a danger in many sports, but for none more than football and its most profitable enterprise, the National Football League. The NFL is spending hundreds of millions of dollars on a concussion-lawsuit settlement and has poured tens of millions into research on measuring and preventing head trauma. Now some scientists are using an NFL-backed technology to examine blood samples for proteins that have been shown to correlate with concussion and other injuries. One of the most intriguing of these proteins, which could help create better tests for traumatic brain injury, is called neurofilament light — or, as it’s known for short, NFL. That’s right, a protein called “NFL” may wind up helping the NFL address its most vexing medical problem. “It's just a remarkable coincidence,” said Kevin Hrusovsky, chief executive of Quanterix, a company that has received $800,000 in grant money from the NFL through the league's “Head Health Challenge” partnership with GE. Quanterix's technology allows users to zero in on molecules with such precision that Hrusovsky likened it to “being able to see a grain of sand in 2,000 Olympic-size swimming pools.” That is crucial, because only tiny amounts of the proteins, referred to as “biomarkers,” dribble across the blood-brain barrier from the cerebrospinal fluid around the brain, where they would be found in larger quantities. The ability to spot sub-concussion injuries is important because they often go undetected by conventional methods and yet are increasingly seen as major threats to long-term health. The problem with simply sampling athletes' cerebrospinal fluid, of course, is that requires a lumbar puncture, or spinal tap, which is a lot to ask in the middle of a football game (or in any other time and place, for that matter). Pricking an athlete's finger for a blood test and getting the results 15 to 20 minutes later makes for a much more reasonable process, albeit one still a long way from implementation. © 1996-2017 The Washington Post

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 23414 - Posted: 03.28.2017

By Mike Stobbe, Elderly people are suffering concussions and other brain injuries from falls at what appear to be unprecedented rates, according to a new report from U.S. government researchers. The reason for the increase isn't clear, the report's authors said. But one likely factor is that a growing number of elderly people are living at home and taking repeated tumbles, said one expert. "Many older adults are afraid their independence will be taken away if they admit to falling, and so they minimize it," said Dr. Lauren Southerland, an Ohio State University emergency physician who specializes in geriatric care. But what may seem like a mild initial fall may cause concussions or other problems that increase the chances of future falls — and more severe injuries, she said. Whatever the cause, the numbers are striking, according to the new report released Thursday by the Centers for Disease Control and Prevention. One in every 45 Americans 75 and older suffered brain injuries that resulted in emergency department visits, hospitalizations, or deaths in 2013. The rate for that age group jumped 76 per cent from 2007. The rate of these injuries for people of all ages rose 39 per cent over that time, hitting a record level, the CDC found. Falls account for 90 per cent of hip and wrist fractures and 60 per cent of head injuries among people aged 65 and older, Canadian researchers have previously reported. The report, which explored brain injuries in general, also found an increase in brain injuries from suicides and suicide attempts, mainly gunshot wounds to the head. Brain injuries from car crashes fell. But the elderly suffered at far higher rates than any other group. ©2017 CBC/Radio-Canada.

Related chapters from BP7e: Chapter 7: Life-Span Development of the Brain and Behavior; Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 13: Memory, Learning, and Development; Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 23370 - Posted: 03.17.2017

By Andy Coghlan Tiny particles secreted in response to head injury in the brains of mice could help explain how inflammation spreads and ultimately boosts the risk of developing dementia. Head injuries are increasingly being linked to cognitive problems and degenerative brain disease in later life. Mysterious particles a micrometre in diameter have previously been found in the spinal fluid of people with traumatic brain injury, but their function has remained unknown. Now Alan Faden at the University of Maryland School of Medicine in Baltimore and his colleagues have discovered that activated immune cells called microglia secrete such microparticles in response to brain injury, and they seem to spread inflammation well beyond the injury site itself. They can even cause brain inflammation when injected into uninjured animals. The particles have receptors that latch onto cells, and are packed with chemicals such as interleukins, which trigger inflammation, and fragments of RNA capable of switching whole suites of genes on or off. When Faden injured the brains of sedated mice, the microparticles spread well beyond the site of damage. Further experiments on cultured microglial cells revealed that the microparticles activate resting microglia, making them capable of triggering further inflammation themselves. © Copyright Reed Business Information Ltd.

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 15: Emotions, Aggression, and Stress
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 11: Emotions, Aggression, and Stress
Link ID: 23339 - Posted: 03.10.2017

By Meredith Wadman A pair of Boston University (BU) brain researchers is pushing back against demands by the National Hockey League (NHL) that they release data, brain pathology slides, and interview records of former NHL players and their families. The scientists accumulated the records during their research on chronic traumatic encephalopathy (CTE), a neurodegenerative disease that has been linked to repetitive head trauma. In affidavits unsealed yesterday in a class action lawsuit brought against the league by former players, BU neuroscientists Robert Stern and Ann McKee argued that giving the league the records would compromise both their ongoing research and the privacy of the players and families involved. The affidavits were first reported on yesterday by Rick Westhead of the Canadian sports network TSN. The NHL first subpoenaed the documents in September 2015. Stern and McKee, a neuropsychologist and a neuropathologist, respectively, at BU’s Chronic Traumatic Encephalopathy Center, have studied the brains of former professional athletes, including hockey players, and are currently using MRI imaging to study scores of living National Football League and college football players in a large study funded by the National Institutes of Health. They say that assurances that players’ privacy will be protected are essential for the success of that $16 million study. In the current litigation, the NHL’s medical expert, Rudy Castellani, asked the BU scientists for copies of gross pathology photographs, all brain slides, and clinical data of former NHL players in order to “verify the accuracy of the reports, evaluate for other pathological processes that may be significant, and conduct a full, independent neuropathological analysis of the cases.” (The scientists interviewed the former NHL players in some cases, and, in others, their surviving family members.) © 2017 American Association for the Advancement of Science.

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 23207 - Posted: 02.09.2017

Jessica Boddy Heading a soccer ball is both a fundamental skill and a dynamic way to score a goal, but research says it could be causing concussions along with player collisions. Players who headed a lot of balls, an average of 125 over two weeks, were three times more vulnerable to concussion than those who headed less than four in that time period, according to a study published Wednesday in the journal Neurology. These header-happy players reported having concussion symptoms like headache, confusion and even unconsciousness. This adds more cause for concern regarding traumatic brain injury in soccer, a sport already notorious for high concussion rates. The cause of these concussions, though, has been disputed. One study showed player-player contact was to blame for 69 percent of concussions in boys and 51 percent in girls. So some argue that changing the rules to limit heading would only reduce concussion by a small amount. "Before banning heading, the focus should be to enforce existing rules prohibiting athlete-athlete contact," says Dawn Comstock, an injury epidemiologist at the University of Colorado's School of Public Health who was not involved in the study. "That's the main risk for head injury in soccer." Still, others say that the risk that comes with headers is worth limiting as well—especially when the effects of repeated, low-level head impacts aren't exactly crystal clear. "Over a quarter of a billion people play soccer all across the world," says Michael Lipton, a professor of radiology and psychiatry/behavioral sciences at Albert Einstein College of Medicine in New York and lead author on the study. "So it's key to understand the long term effects of headers, a skill unique to the sport." © 2017 npr

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 23179 - Posted: 02.02.2017

By Lisa Rapaport Researchers examined data on high school soccer players from 2005 to 2014 and found non-concussion injury rates declined for boys and were little changed for girls. But concussions increased in both male and female players. The significant rise in concussion rates "could be mainly due to a better recognition of concussion by medical and coaching staff," study leader Dr. Morteza Khodaee, a sports medicine researcher at the University of Colorado School of Medicine, said in an email. The research team looked at injuries per minute of athletic exposure (AE), which includes both practices and competitions, for U.S. high school athletes. Overall, there were 6,154 injuries during 2.98 million athletic exposures, for an injury rate of 2.06 per 1,000 AEs, the study found. That included about 1.8 million soccer injuries among girls and 1.5 million among boys. Girls were 27 percent more likely to sustain soccer injuries than boys, the authors reported online December 28 in the British Journal of Sports Medicine. Injuries were 42 percent more common in competitions than during practice. "The majority of injuries during competitions occurred during the second half indicating a potential accumulated effect of fatigue," the authors reported. "It is well known that the risk of injury is higher in competition compared with practice," Khodaee said. "This is most likely due to more intense, full contact and potentially riskier play that occurs in competition." Still, while injury rates were significantly higher in competition, more than one third of all injuries occurred in practice. © 2017 Scientific American

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 23117 - Posted: 01.18.2017

By SAM BORDEN, MIKA GRÖNDAHL and JOE WARD When player No. 81 took this blow to his head several years ago, it was just one of many concussions that have occurred throughout college football and the N.F.L. But what made this one different was that this player was wearing a mouth guard with motion sensors. The information from those sensors has given researchers a more detailed and precise window into what was happening within the player’s brain in the milliseconds after the hit. Here is what happened to his brain. One common belief has been that just after a person’s head (or helmet) makes contact with something – an airbag, a wall, another person – the brain within bounces around in the skull like an egg yolk in a shell, leaving bruises on the brain’s outer surface, or gray matter. Now, though, many scientists and medical experts believe that this understanding is incomplete. Yes, there is some movement in the skull, but the real damage from concussions, they say, actually occurs deeper in the brain – in the so-called white matter – as a result of fibers pulling and twisting after impact. To stick with the food analogy, think Jell-O, not an egg. You know what happens when you take a plate of Jell-O and give it a hard shake? The stretches and contortions approximate what is happening to all the wiring throughout the brain. To better track the brain’s reaction to these hits, scientists in several labs have been working on a variety of mechanisms, some of which, like the one used during the impact shown above, are moving away from ones connected directly to a football helmet because the helmet can move independently of the skull. “The forces you’re measuring with those are not really exactly what the brain is seeing,” said Robert Cantu, clinical professor of neurosurgery at the Boston University School of Medicine. The mouth guard that was used was developed by the bioengineer David Camarillo and his team at the Cam Lab at Stanford. Camarillo and others have speculated that the most damaging blows are those that cause the head to snap quickly from ear to ear, like the one shown above, or those that cause a violent rotation or twisting of the head through a glancing blow. “The brain’s wiring, essentially, is all running from left to right, not front to back,” Camarillo said, referring to the primary wiring that connects the brain’s hemispheres. “So the direction you are struck can have a very different effect within the brain. In football, the presence of the face mask can make that sort of twisting even more extreme.” © 2017 The New York Times Company

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 2: Functional Neuroanatomy: The Nervous System and Behavior
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 2: Cells and Structures: The Anatomy of the Nervous System
Link ID: 23085 - Posted: 01.11.2017

By Meredith Wadman In athletes who suffered a concussion, a protein in their blood may be able to predict when they can return to action. A new study finds that those who took longer to return to play had higher levels of a protein known as tau in their blood in the 6 hours following the trauma than players who were cleared to return to the field sooner. Tau blood testing isn’t ready for prime time, but experts say that if it pans out it would become an invaluable tool for coaches and physicians alike. Trainers, sports physicians, and neurologists deal with some 3.8 million sports-related concussions in the United States each year. But they still lack an objective medical test to establish whether someone has sustained the injury, and at what point they have recovered enough from one to resume playing. Instead, they are forced to rely on often-nebulous physical signs, and on players’ self-reporting of symptoms. And it’s known that players, keen to get back on the field, often minimize these. “We don’t want a biomarker that just says somebody had a concussion,” says study leader Jessica Gill, a neuroscientist at the National Institute of Nursing Research in Bethesda, Maryland. “We want a biomarker that says who needs to be out of play to recover.” Gill, with concussion physician Jeffrey Bazarian of the University of Rochester School of Medicine and Dentistry in New York, and colleagues took preseason blood samples from more than 600 male and female University of Rochester athletes who participate in contact sports: football, basketball, hockey, and lacrosse. In it, they measured levels of tau, a protein linked to traumatic brain injury and Alzheimer’s disease, which has been found to be elevated in the blood of Olympic boxers and concussed ice hockey players. © 2017 American Association for the Advancement of Science.

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 13: Memory, Learning, and Development
Link ID: 23068 - Posted: 01.07.2017

Lisa Vincenz-Donnelly A test that records the way the brain processes sound might provide a simple and reliable measure of concussion, a small study suggests. If the method works, it could help scientists work out how best to treat the poorly understood brain injury. In a paper published on 22 December in Scientific Reports1, neuroscientist Nina Kraus of Northwestern University in Evanston, Illinois, and other researchers say that they have found that a particular signal in neural activity, recorded with electrodes placed on the head as children listen to 'da' sounds from a speech synthesizer, can objectively demarcate concussed children from a healthy control group. The research was done on just 40 people — a tiny group — and will have to be repeated in larger samples. But other researchers are still excited by the report, because concussion is hard to diagnose, particularly in children. The study “may for the first time offer a simple and objective biomarker to measure the severity of brain injuries”, says Thomas Wisniewski, a neurologist at New York University’s Langone Medical Center. There is intense interest in finding a clear-cut biological signature for concussion, he says. “We have been crying out for a reliable method." Millions of people enter hospitals every year with blows to the head, and some of have concussion, a minor brain injury that can betoken more serious damage. To diagnose it, physicians rely on subjective complaints of dizziness, coordination tests and sometimes more involved procedures, such as magnetic resonance imaging (MRI) or computed tomography (CT) scans. But there’s no single objective way to detect concussion and measure its severity — and no simple test that can be administered regularly to determine when someone has recovered, a particularly important issue for athletes keen to be allowed back on the field. © 2016 Macmillan Publishers Limited

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 9: Hearing, Vestibular Perception, Taste, and Smell
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 6: Hearing, Balance, Taste, and Smell
Link ID: 23014 - Posted: 12.23.2016

Men and women who suffered traumatic brain injuries had more than twice the risk of winding up in a federal prison in Canada as their uninjured peers, a new study shows. That doesn't surprise Dr. Geoffrey Manley, a neurosurgeon who runs a trauma centre. He knows all too well the long-term struggles of survivors of traumatic brain injuries. "Because there's no system of care for these individuals, they fall into the cracks and get themselves in trouble. And we really as a society are not doing a good job of taking care of people with traumatic brain injuries," Manley, who was not involved in the study, said in a phone interview. For 13 years, researchers followed more than 1.4 million people who were eligible for health care in Ontario and were between the ages of 18 and 28 in 1997. As reported in CMAJ Open, the open-access journal of the Canadian Medical Association, the research team linked subjects' health records to correctional records, adjusted for a variety of factors like age and substance abuse, and found that men with traumatic brain injuries were 2.5 times more likely to serve time in a Canadian federal prison than men without head injuries. Female prisoners were even more likely to have survived traumatic brain injuries. For women with these injuries, the risk of winding up in a Canadian federal prison was 2.76 times higher than it was for uninjured women, although the authors caution that the pool of incarcerated females was small, accounting for only 210 of the more than 700,000 women studied. ©2016 CBC/Radio-Canada.

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 15: Emotions, Aggression, and Stress
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 11: Emotions, Aggression, and Stress
Link ID: 22970 - Posted: 12.09.2016

By Usha Lee McFarling, There’s something wrong with the brain banks created to study the dangers of repeated trauma to the head: Almost all the brains donated so far belonged to men. It’s just one example of how the study of brain trauma in women lags behind—even though women get concussions at higher rates than men in many sports and may suffer more severe and persistent symptoms. “If concussion is the invisible injury, then females are the invisible population within that injury,” said Katherine Snedaker, a licensed clinical social worker from Norwalk, Conn., who founded the nonprofit PINK Concussions in 2013 to focus attention on the issue. Evidence is building that the response to traumatic injury is different enough in females that they might benefit from gender-specific treatment, as they do with cardiac disease. But the data to create such guidelines simply aren’t there. “It’s an incredible gap in our knowledge,” said Angela Colantonio, director of the Rehabilitation Science Institute at the University of Toronto. “It’s just not acceptable.” When Colantonio examined 200 studies on prognosis after mild traumatic brain injury, she found only 7 percent separated out women. And if female athletes are overlooked, other groups vulnerable to concussion—aging women, women in prison, and domestic abuse survivors—have been nearly entirely ignored. © 2016 Scientific American

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 12: Sex: Evolutionary, Hormonal, and Neural Bases
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 8: Hormones and Sex
Link ID: 22897 - Posted: 11.22.2016

By GRETCHEN REYNOLDS A single concussion experienced by a child or teenager may have lasting repercussions on mental health and intellectual and physical functioning throughout adulthood, and multiple head injuries increase the risks of later problems, according to one of the largest, most elaborate studies to date of the impacts of head trauma on the young. You cannot be an athlete, parent of an athlete, sports fan or reader of this newspaper and not be aware that concussions appear to be both more common — and more dangerous — than most of us once thought. According to a report released last week by the health insurer Blue Cross Blue Shield, based on data from medical claims nationwide, the incidence of diagnosed concussions among people under the age of 20 climbed 71 percent between 2010 and 2015. The rates rose most steeply among girls, with the incidence soaring by 119 percent during that time, although almost twice as many concussions over all were diagnosed in boys. The report acknowledges that the startling increase may partly reflect a growing awareness of the injury among parents, sports officials and physicians, which has led to more diagnoses. But the sheer numbers also suggest that more young people, particularly young athletes, are experiencing head injuries than in the past. Similar increases have been noted among young people in other nations. But the consequences, if any, for their health during adulthood have largely remained unknown. So for the new study, which was funded primarily by the Wellcome Trust and published in August in PLOS Medicine, scientists from Oxford University, Indiana University, the Karolinska Institute in Stockholm and other universities turned to an extensive trove of data about the health of people in Sweden. © 2016 The New York Times Company

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 13: Memory, Learning, and Development
Link ID: 22728 - Posted: 10.05.2016

By Abdul-Kareem Ahmed In the world of recreational and professional sports, many athletes—particularly in contact sports—suffer concussions. These mild traumatic brain injuries cause headaches, memory problems and confusion, but usually resolve on their own with rest. Some players, however, especially after repeated concussions, continue to experience symptoms for many months—a phenomenon termed post-concussion syndrome. A few of these players will eventually develop chronic traumatic encephalopathy (CTE), a progressive neurodegenerative disease that causes dementia symptoms similar to Alzheimer’s disease. CTE can lead to personality changes, movement problems and, sometimes, mortality. CTE is diagnosed after death because it requires postmortem examination of a player’s brain. Post-concussion syndrome, in contrast, is diagnosed based on patient symptoms. To date, doctors do not have any objective tests to determine syndrome severity or relate it to the risk of developing CTE. Now, a group of researchers from Sweden and the U.K. say they have developed such a test, reporting their findings last week in JAMA Neurology. The test measures biomarkers in the cerebrospinal fluid—the colorless liquid that supports and suspends the brain and spinal cord—that appear to provide a measure of concussion severity and CTE risk. The researchers collected cerebrospinal fluid via spinal taps from 16 professional Swedish ice hockey players and a similar number of healthy individuals. The hockey players had all experienced post-concussion syndrome, causing nine of them to retire from the game. © 2016 Scientific American,

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 13: Memory, Learning, and Development
Link ID: 22700 - Posted: 09.27.2016

By KEN BELSON One of the frustrations of researchers who study chronic traumatic encephalopathy, the degenerative brain disease linked to repeated head hits, is that it can be detected only in autopsies, and not in the living. Researchers, though, have been trying to solve this problem in two primary ways: by identifying biomarkers linked to the disease that show up on imaging tests in certain locations in the brain, and by trying to locate in the blood the protein that is the hallmark of the disease. On Monday, two groups of researchers said they had made what they considered small steps in developing both methods. The announcements are small parts of much larger studies that will take years to bear fruit, if they ever do. Both methods have been questioned by detractors, some of whom say the hype is getting ahead of the science. Scientists, these critics note, have spent decades trying to find ways to accurately diagnose Alzheimer’s disease, which has some of the same characteristics as C.T.E. Still, at a medical conference in Boston on Monday, Robert Stern, a professor of neurology at Boston University, said technology developed by the company Quanterix (paid for in part with a grant from the N.F.L.) had identified elevated levels of tau proteins in blood samples of 96 former football players between 40 and 69 years old, compared with only 25 people of the same age in a control group. The results, which are part of a seven-year study and are under review for publication, are preliminary because they identify only the total amount of tau in the blood, not the amount of the specific tau linked to C.T.E. Additional tests are being done in Sweden to determine the amount of the C.T.E.-related tau in the blood samples, Stern said. Even so, Stern said, the blood samples from the 96 former players suggest that absorbing repeated head hits earlier in life can lead to higher concentrations of tau in the blood later. © 2016 The New York Times Company

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 7: Life-Span Development of the Brain and Behavior
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 13: Memory, Learning, and Development
Link ID: 22699 - Posted: 09.27.2016

Jon Hamilton There's growing evidence that a physical injury to the brain can make people susceptible to post-traumatic stress disorder. Studies of troops deployed to Iraq and Afghanistan have found that service members who suffer a concussion or mild traumatic brain injury are far more likely to develop PTSD, a condition that can cause flashbacks, nightmares and severe anxiety for years after a traumatic event. And research on both people and animals suggest the reason is that a brain injury can disrupt circuits that normally dampen the response to a frightening event. The result is like "driving a car and the brake's not fully functioning," says Minxiong Huang, a biomedical physicist at the University of California, San Diego. Scientists have suspected a link between traumatic brain injury (TBI) and PTSD for many years. But the evidence was murky until researchers began studying troops returning from Iraq and Afghanistan. What they found was a lot of service members like Charles Mayer, an Army sniper from San Diego who developed PTSD after finishing a deployment in Iraq. In 2010, Mayer was on patrol in an Army Humvee near Baghdad when a roadside bomb went off. "I was unconscious for several minutes," he says. So he found out what happened from the people who dragged him out. The blast fractured Mayer's spine. It also affected his memory and thinking. That became painfully clear when Mayer got out of the Army in 2012. © 2016 npr

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry; Chapter 16: Psychopathology: Biological Basis of Behavior Disorders
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language; Chapter 12: Psychopathology: The Biology of Behavioral Disorders
Link ID: 22695 - Posted: 09.26.2016

By Meredith Wadman Last year, in a move to counter charges that it has neglected the health and safety of its players, the National Football League (NFL) tapped Elizabeth “Betsy” Nabel as its first chief health and medical adviser, a paid position to which she told The Boston Globe she devotes about 1 day a month, plus some nights and weekends. (She and NFL have not disclosed her salary.) And last week, Nabel answered Science’s questions on the heels of NFL’s 14 September announcement that it will devote $40 million in new funding to medical research, primarily neuroscience relevant to repetitive head injuries—with grant applications judged by an NFL-convened panel of scientists, rather than by National Institutes of Health (NIH) study sections. Nabel is well known to many medical scientists as the cardiologist who directed the National Heart, Lung, and Blood Institute at NIH, then left that job in 2009 to become president of a prestigious Harvard University–affiliated teaching hospital: Brigham and Women’s Hospital in Boston. Nabel’s new role with NFL came under media scrutiny in May, when a report by Democrats on the House of Representatives Energy and Commerce Committee found that NFL inappropriately tried to influence the way its “unrestricted” donation to NIH was spent. It revealed, for example, that last year Nabel contacted NIH’s neurology institute director Walter Koroshetz to question the objectivity of an NIH study section and of a principal investigator whose team the peer reviewers had just awarded a $16 million grant. Robert Stern and his group at Boston University, with others, were proposing to image the brains and chart the symptoms of scores of college and professional football players across time. NFL suggested that the scientists, who have led in establishing the link between repetitive head injury and the neurodegenerative brain disease chronic traumatic encephalopathy (CTE), were not objective; Nabel described them in one email as “a more marginal group” whose influence it would be well to “dilute.” The scientists were to have been paid from $30 million that NFL donated to NIH in 2012. After the league objected to its $16 million going to fund the Boston University–led team—it did offer to fund $2 million of the amount—NIH’s neurology institute ended up wholly funding the 7-year grant with its own money. © 2016 American Association for the Advancement of Scienc

Related chapters from BP7e: Chapter 19: Language and Hemispheric Asymmetry
Related chapters from MM:Chapter 15: Brain Asymmetry, Spatial Cognition, and Language
Link ID: 22669 - Posted: 09.20.2016