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Brain injury prevention in contact sports is essential, expert says
by
Alzheimer's Center at Temple University Lewis Katz School of Medicine
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Gross Neuropathologic Features Associated With Chronic Traumatic Encephalopathy (CTE) in Young Athletes. A, A 27-year-old control. Coronal brain sections at the level of the caudate, accumbens, and putamen (left); anterior thalamus and mammillary bodies (center); and midthalamus (right). B, Young athletes with CTE. Examples of macroscopic brain abnormalities in CTE. Cavum septum pellucidum (top left; arrowhead), thalamic notch (top center; arrowhead), degeneration of fornix (top right; arrowhead), enlargement of the frontal horns of the lateral ventricles and septal fenestrations (bottom left; asterisk), enlargement of the frontal horns of the lateral ventricles and cavum septum pellucidum (2 bottom center images; arrowheads), and thalamic notch (bottom right; asterisk). Credit: JAMA Neurology (2023). DOI: 10.1001/jamaneurol.2023.2907
A new study recently published in JAMA Neurology provides insights into the complex and intricate relationship of contact sports and the risk of dementia.
"There is abundant evidence of a link between contact sports, such as football, and dementia later in life," says Domenico Pratico, M.D., Director of the Alzheimer's Center at Temple University (ACT).
"[It's] rather alarming that more than 40% of young athletes under 30 had developed clear features of chronic traumatic encephalopathy (CTE)," says Pratico, "and this was associated with clinical symptoms of depression, apathy and problems with decision making."
Football, ice hockey, soccer and rugby were the highest represented sports corresponding to repetitive head injury.
"CTE starts early," cautions Pratico, "and for this reason, it is extremely important to implement science-based protocols to reduce the risk of young athletes developing CTE, and to not underestimate the clinical manifestation of CTE in an individual who has sustained a traumatic brain injury."