Presentation
It is predominant among athletes and sportspeople who suffer concussion, e.g, wrestlers, boxers, etc, and present essentially with characteristics of dementia. [physio-pedia.com]
Each entry follows a 5 section structure that will cover (1) essential features of the disorder (2) physiological basis of the disorder (3) neuropsychological and other clinical presentation (4) assessment and diagnostic practices (5) evidence-based treatments [books.google.de]
The in-services are also appropriate for instructors to present to students attending learning institutions and universities. We allow you to present the staff in-services either in person and or live online training. [nccdp.org]
Entire Body System
- Disability
When Quarry was inducted into the World Boxing Hall of Fame in October 1995, he was so disabled that he could not sign his name for autograph seekers. Continue reading the main story [nytimes.com]
In the worst cases, MTBI results in disability that can have an impact on social relationships, employment, and routine daily functions. [doi.org]
Language and communication problems are common disabilities in TBI patients. [en.wikipedia.org]
Director: Stephen Daldry | Stars: Thomas Horn, Tom Hanks, Sandra Bullock, Max von Sydow Votes: 92,211 | Gross: $31.85M 6 | 102 min | Comedy, Drama, Romance 21 Metascore A bachelor becomes the unwilling guardian of his autistic, intellectually disabled [imdb.com]
Extensive exposure of boxers to neurotrauma in the early 20th century led to the so-called punch drunk syndrome, which was… Traumatic brain injury (TBI) is a serious public health concern and a major cause of death and disability worldwide. [semanticscholar.org]
- Pathologist
It was first described by a forensic pathologist, Dr. [physio-pedia.com]
Already in 1928, U.S. pathologist Harrison Martland from New Jersey writing in the JAMA described neurological disorders in boxers as "punch drunk", in 1937 the concept of "dementia pugilistica" was introduced. [context.reverso.net]
The remaining boxers with less traumatic exposure had a mean score of 0.33, regardless of ApoE genotype.[12] History[] DP was first described in 1928 by a forensic pathologist, Dr. [boxing.fandom.com]
- Weakness
A condition seen especially in boxers, caused by repeated cerebral concussions and characterized by weakness in the lower limbs, unsteadiness of gait, slowness of muscular movements, hand tremors, hesitancy of speech, and cognitive impairment. [medical-dictionary.thefreedictionary.com]
One pupil will be larger Drowsiness or not easily awaken Worsening headache Decreased coordination numbness and weakness Nausea or repeated vomiting Slurring speech Seizures or convulsion Inability to recognize places or people Confusion, restlessness [epainassist.com]
A condition seen in boxers (and alcoholics), caused by repeated cerebral concussions and characterized by weakness in the lower limbs, unsteadiness of gait, slowness of muscular movements, hand tremors, hesitancy of speech, and mental dullness: The condition [wordinfo.info]
Compared to most mammals, the cervical spine in humans is particularly weak by design due to upright posture. What’s more, even necks built like tree trunks like the boxers above, fall to forces that catch them off guard. [upright-health.com]
- Pallor
The lateral ventricles and the third ventricle are often enlarged, with rare instances of dilation of the fourth ventricle. [9] Other physical manifestations of CTE include anterior cavum septi pellucidi and posterior fenestrations, pallor of the substantia [en.wikipedia.org]
The major macroscopic findings were mild reduction in bulk of the globus pallidus and subthalamic nucleus with pallor of the substantia nigra, reduction in height of the midbrain and pontine tegmenta and blurring of the dentate nucleus. [actaneurocomms.biomedcentral.com]
Gastrointestinal
- Nausea
Subacute consequences after being knocked out include persistent symptoms such as headaches, impaired hearing, nausea, unstable gait, and forgetfulness. [news-medical.net]
Indications of being “punch drunk” really present themselves hours later when nausea and vertigo set in. The reaction is comparable, if not the exact replica of a hard night of drinking alcohol. [receptranaturals.com]
[…] traumatic brain injury The signs and symptoms of mild traumatic brain injury may include: Physical symptoms Loss of consciousness for a few seconds to a few minutes No loss of consciousness, but a state of being dazed, confused or disoriented Headache Nausea [mayoclinic.org]
In the short term, concussions can cause dizziness, nausea and memory problems. Doctors recommend at least a week’s rest after sustaining one. In the long term, multiple concussions may lead to far more serious problems, like early-onset dementia. [economist.com]
One pupil will be larger Drowsiness or not easily awaken Worsening headache Decreased coordination numbness and weakness Nausea or repeated vomiting Slurring speech Seizures or convulsion Inability to recognize places or people Confusion, restlessness [epainassist.com]
Eyes
- Visual Impairment
[…] lesions seen on MRI scans have been associated with impairment of memory. 24 Cognitive impairment may compromise safety, vocation, and life skills. [doi.org]
Psychiatrical
- Fear
See Also Punch Eye, a fear of being hit with a punch. [ippo.wikia.com]
Boxing is possibly less dangerous for the brain than previously feared – at least for amateurs. However, conclusive statements on the level of danger are not yet possible. [sciencedaily.com]
His former friendliness was replaced by a fear of strangers. He earned millions of dollars in the ring but had lost it all by the time he was 45 and was already suffering from dementia. He filed for Social Security disability but was turned down. [drmirkin.com]
The condition they fear is chronic traumatic encephalopathy (CTE), previously called punch drunk syndrome, boxer’s dementia or dementia pugilistica. This causes progressive memory problems, personality change and slowness of movement. [newscientist.com]
As time went on, I tried to put my mind into a learning experience rather than a fearful one, for this was something Josh was going to be dealing with for a long time, and we needed to learn about it to help him. [brainline.org]
- Compulsive Disorder
TBI appears to predispose a person to psychiatric disorders including obsessive compulsive disorder, alcohol or substance abuse or substance dependence, dysthymia, clinical depression, bipolar disorder, phobias, panic disorder, and schizophrenia. [en.wikipedia.org]
Neurologic
- Confusion
Grade 1: No loss of consciousness, transient confusion, and other symptoms that resolve within 15 minutes Grade 2: No loss of consciousness, transient confusion and other symptoms that require more than 15 minutes to resolve Grade 3: Loss of consciousness [receptranaturals.com]
In 90% of concussions, the athlete is "stunned", the brain swelling.There are several consequences:Firstly, post-concussion syndrome, lasting from a few minutes to several days, results in headaches, fatigue, confusion and disorientation, memory problems [msn.com]
Martland in 1928 when he noted tremors, slowed movement, confusion, and speech problems as characteristics of the condition.[2] Mechanism of Injury / Pathological Process [edit | edit source] It is not explicitly understood how DP occurs, however, loss [physio-pedia.com]
- Slurred Speech
Dementia pugilistica causes a range of cognitive, psychiatric and motor problems, including: slurred speech memory loss impaired reasoning emotional outbursts personality changes lack of impulse control slowed movement diminished fine motor skills physical [courttheatre.org]
After witnessing Norris' slurred speech at the hearing, and comparing it to tapes of intact speech from only a few years prior, the request was unanimously denied. [sherdog.com]
Both may have been the case with Ali, who was already showing signs of Parkinson’s—slurred speech and uncoordinated movements—before his last fight. [time.com]
Clinically CTE is characterised by mood and behavioural changes, memory loss, executive dysfunction, slurred speech and Parkinsonism. Furthermore, all the players with signs of CTE also had signs of Alzheimer’s disease. [thebadgeronline.com]
- Dysarthria
[…] boxer's dementia dementia resulting from cumulative damage sustained over some years in boxing, with slowed thought, memory loss, dysarthria, and other movement disorders. [medical-dictionary.thefreedictionary.com]
CTE includes motor changes such as tremor, dysarthria, and parkinsonism; cognitive changes such as mental slowing and memory deficits; and psychiatric changes such as explosive behavior, morbid jealousy, pathological intoxication, and paranoia. [ncbi.nlm.nih.gov]
The classical clinical signs and symptoms of DP include combinations of dysarthria, incoordination, gait disturbance, pyramidal and extrapyramidal dysfunction, and cognitive impairment. [connect.springerpub.com]
In the early case material, the diagnosis of dementia pugilistica required neurological deficits, including slurring dysarthria, ataxia, pyramidal signs, extrapyramidal signs, memory impairment, and personality changes, although the specific clinical [pubmed.ncbi.nlm.nih.gov]
- Cognitive Impairment
A condition seen especially in boxers, caused by repeated cerebral concussions and characterized by weakness in the lower limbs, unsteadiness of gait, slowness of muscular movements, hand tremors, hesitancy of speech, and cognitive impairment. [medical-dictionary.thefreedictionary.com]
Dementia pugilistica (DP) is a form of chronic traumatic encephalopathy (CTE) that involves gross impairment of cognitive and motor functioning due to repetitive blows to the head from boxing. [connect.springerpub.com]
Although the July study focused on active fighters, the prognosis for retirees isn’t good: A 2014 study in Alzheimer’s & Dementia tested the brains of 13 retired boxers and one MMA fighter and found serious cognitive impairments with reaction time, processing [menshealth.com]
Recent studies suggest that even mTBI can lead to an increased risk of later-life cognitive impairment and neurodegenerative disease, especially when repeated injuries are involved. [23, 24, 25] TBIs of mixed severity have been associated with an elevated [emedicine.medscape.com]
Chronic traumatic encephalopathy (CTE), which presents with a constellation of behavioral symptoms that include mood disorders, impulsivity, and poor judgment—as well as a range of cognitive impairments and motor deficits, is thought to be the end result [thedailybeast.com]
- Apathy
Emotional symptoms that can follow TBI include emotional instability, depression, anxiety, hypomania, mania, apathy, irritability, and anger. [en.wikipedia.org]
Patients may show extreme behavioral changes such as inappropriate actions, loss of empathy, lack of judgement, apathy, repetitive compulsive behavior, decline in personal hygiene, changes in eating habits, and lack of awareness. [onhealth.com]
These include: Cognitive impairment (difficulty thinking) Impulsive behavior Apathy or depression Memory loss that is short-term Unstable emotion Substance abuse Suicidal behavior or thought Task planning and performing difficulty (executive function) [epainassist.com]
Treatment
It examines the differential neuropathological and pathophysiological bases of these dementias and emphasizes their behavioral and cognitive aspects in assessment, diagnosis, and treatment. [books.google.com]
[…] disorders across the lifespan (pediatric, adult, and geriatric populations) Includes interventions and methods of treatment for the outcomes patients may experience [books.google.de]
Once DP occurs, it is similar to Alzheimer’s disease in almost every way and can be managed with proper medication and treatment options. [healthlifemedia.com]
Unfortunately, controlled treatment studies have been the exception in the field, and treatment decisions usually lack adequate empirical support. [doi.org]
Treatment for heterotopic ossification can include range of motion exercises, bracing or splinting, medications, or even surgery. [brainline.org]
Prognosis
Catching vascular dementia early and preventing further damage makes for a better prognosis. [onhealth.com]
Although the July study focused on active fighters, the prognosis for retirees isn’t good: A 2014 study in Alzheimer’s & Dementia tested the brains of 13 retired boxers and one MMA fighter and found serious cognitive impairments with reaction time, processing [menshealth.com]
Subdividing patients with a brain injury into these categories facilitates determination of appropriate medical treatment and prognosis for recovery. [doi.org]
Etiology
[…] scarring of brain tissue, collection of proteinaceous, senile plaques, hydrocephalus, attenuation of corpus callosum, diffuse axonal injury, neurofibrillary tangles, and damage to the cerebellum are implicated in the syndrome.[8] The condition may be etiologically [boxing.fandom.com]
[…] scarring of brain tissue, collection of proteinaceous, senile plaques, hydrocephalus, attenuation of corpus callosum, diffuse axonal injury, neurofibrillary tangles, and damage to the cerebellum are implicated in the syndrome. [8] The condition may be etiologically [boxing.wikia.com]
The condition may be etiologically related to Alzheimer's disease. [12] Neurofibrillary tangles have been found in the brains of dementia pugilistica patients, but not in the same distribution as is usually found in people with Alzheimer's. [13] One group [en.wikipedia.org]
Mittenberg WDiGiulio DVPerrin SBass AE Symptoms following mild head injury: expectation as etiology. J Neurol Neurosurg Psychiatry. 1992;55200- 204 Google Scholar Crossref 86. [doi.org]
Epidemiology
Recent findings We have now a more consistent view of the epidemiology of post-traumatic brain injury psychiatric disorders both in adult and pediatric populations. [doi.org]
Epidemiological studies have suggested a link between cognitive decline in the later stages of adulthood and sports concussions received in earlier stages of adulthood. [ruor.uottawa.ca]
With the overwhelming medical, scientific and epidemiologic evidence that a career worth of head blows leads to CTE in one out of five fighters, the moral imperative for some meaningful change is inarguable. The sport is too good not to be better. [sherdog.com]
Heyman A, Wilkinson WE, Stafford JA, Helms MJ, Sigmon AH, Weinberg T (1984) Alzheimer's disease: a study of epidemiological aspects. Ann Neurol 15:335–341 Google Scholar 26. [link.springer.com]
Pathophysiology
There is also a body of knowledge on the possible pathophysiological bases and pathological characteristics of chronic traumatic brain injury from brain biopsies where a similarity to Alzheimer's disease is found. [scielo.org.mx]
It examines the differential neuropathological and pathophysiological bases of these dementias and emphasizes their behavioral and cognitive aspects in assessment, diagnosis, and treatment. [books.google.com]
Summary Recent advances in the basic neuroscience of traumatic brain injury as well as in behavioral genetics, social science and neuroimaging techniques should contribute to a better understanding of the pathophysiology of the psychiatric disorders occurring [doi.org]
Pathophysiology Although the details remain to be elucidated, there is mounting evidence that reactive gliosis and redistribution of aquaporin 4 molecules, leading to disruption of transparenchymal CSF clearance of interstitial beta-amyloid via the glymphatic [radiopaedia.org]
CTE has a pathophysiological basis. It is a neurodegenerative disease characterized by accumulations of hyperphosphorylated tau in the brain—similar to that found in Alzheimer’s disease. [thedailybeast.com]
Prevention
Methods: Potential mechanisms for prevention of epileptogenesis as well as reports and systematic reviews were evaluated to determine strategies and results of attempts to reduce or prevent the development of epilepsy following TBI. [doi.org]
Avoiding aggressive physical activity and a major risk of major injuries, particular only on a consistent basis is the best way to prevent the onset of DP. [healthlifemedia.com]
“Our hope is by the end of the study, we will be able to use this information to better prevent permanent brain injury,” says Jay Alberts, PhD, Director of the Concussion Center at Cleveland Clinic and leader of the Cleveland-based arm of the study. [health.clevelandclinic.org]
The legal suits against them are actually preventing the NFL from being able to deal with the association between the two. [traumaticbraininjury.net]
[…] clutter Install window guards to prevent falls Put a nonslip mat in the bathtub or shower Use playgrounds that have shock-absorbing materials on the ground Make sure area rugs are secure Don't let children play on fire escapes or balconies [mayoclinic.org]