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2.1
Boxer's Dementia
Punchdrunk Syndrome

Images

WIKIDATA, CC BY-SA 3.0

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

  • Unconsciousness

    Coma is a state in which the patient is totally unconscious and cannot be aroused even with strong stimuli. [en.wikipedia.org]

    Doctors classify traumatic brain injury as mild, moderate or severe, depending on whether the injury causes unconsciousness, how long unconsciousness lasts and the severity of symptoms. [doctordementia.com]

    Traumatic brain injuries (TBIs) also can be classified as moderate or severe, depending on symptoms and the length of unconsciousness the brain injury causes. [alz.org]

    Football was never really considered as a high risk sport because players are very rarely knocked unconscious during play. [thebadgeronline.com]

    A person can develop this syndrome even if he has never been knocked unconscious and cannot remember hitting his head. [drmirkin.com]

  • Camping

    The father went west from the Texas cotton patches in the Depression years, and with his wife, Arwanda, raised his children in migrant labor camps. Continue reading the main story ''My heritage was 'The Grapes of Wrath,' '' Quarry once said. [nytimes.com]

    Norris's camp explained the slurred speech was due to "lazy speech syndrome" -- a condition unknown to medicine. The commission, voiced by its vice chairman, disagreed: "We believe there is evidence of chronic brain injury. [sherdog.com]

    Sullivan, who says he has had his nose broken twice while sparring, comes home two or three times during each fight camp having trouble speaking, according to Rusher, his fiancee. [mmamania.com]

Musculoskeletal

  • Contusion

    No seconds ‎ Page 251 - Wolff, SM and Zimmerman, LE, Chronic secondary glaucoma associated with retrodisplacement of iris root and deepening of the anterior chamber angle secondary to contusion, Am. J. [books.google.com]

    Parasagittal contusions may occur with whiplash injury 22 and result from acceleration/deceleration of the head without direct impact. 23 Cortical contusions are associated with localized ischemia, edema, mass effect, and poorer outcome in MTBI. 24 Signs [doi.org]

    The CT scan test can show bone fractures as well as the presence of hemorrhage, hematomas, contusions, brain tissue swelling, and tumors. Magnetic resonance imaging test help to detect subtle changes in brain tissue. [depression-guide.com]

    The minute bleeding forms contusions, the equivalent of bruises in the brain. As these heal, Cope said it can lead to scarring and cause certain neurons in the brain to "drop out." [articles.latimes.com]

    The most common TBIs in sports are cerebral contusions, second impact syndrome concussions, dementia pugilistica, and hematomas. [diki.pl]

Psychiatrical

  • Delusion

    Orientation and judgment decline; 50% of patients experience depression, 20% delusions. Agitation occurs in 70%. [wordinfo.info]

    Sometimes, people with dementia go through personality changes or develop delusions. [onhealth.com]

  • Head Banging

    […] soccer (5+ cases, 10+ globally), pro wrestling (5+ cases), and, in fewer than three cases each, baseball, basketball, intimate partner violence, and individuals with developmental disorders who engaged in head banging behaviors. [concussionfoundation.org]

Neurologic

  • Encephalopathy

    Dementia pugilistica (chronic traumatic encephalopathy) Dementia pugilistica, also called chronic traumatic encephalopathy, is the severe form of CTBI. [diki.pl]

    It is also referred to as chronic boxer's encephalopathy, traumatic boxer’s encephalopathy, boxer's dementia, chronic traumatic brain injury associated with boxing (CTBI-B), and punch-drunk syndrome. [physio-pedia.com]

    Chronic traumatic encephalopathy Nitin K Sethi, MD Assistant Professor of Neurology New York-Presbyterian Hospital Weill Cornell Medical Center New York, NY I recently read an article dealing with chronic traumatic encephalopathy (CTE) and the pledge [braindiseases.wordpress.com]

  • Tremor

    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]

    His speech began to slow; tremors developed in his hands. Long before he quit boxing, Griffith showed looming signs of dementia pugilistica. [courttheatre.org]

    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]

  • 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]

  • Irritability

    Emotional symptoms that can follow TBI include emotional instability, depression, anxiety, hypomania, mania, apathy, irritability, and anger. [en.wikipedia.org]

    In a child with traumatic brain injury, you may observe: Change in eating or nursing habits Unusual or easy irritability Persistent crying and inability to be consoled Change in ability to pay attention Change in sleep habits Seizures Sad or depressed [mayoclinic.org]

    He was irritable and confused, with uncontrollable mood swings. 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. [drmirkin.com]

    At first, people with chronic traumatic encephalopathy may have one or more of the following: Changes in mood: They feel depressed, irritable, and/or hopeless, sometimes leading to suicidal thoughts. [msdmanuals.com]

    Health News and Articles Comprehensive information about Diabetes, depression, weight management, osteoarthritis and more from MerckSource.com Health Resource Library - Information about Irritable Bowel Syndrome (IBS), high blood pressure, osteoporosis [web.archive.org]

  • Slurred Speech

    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]

    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]

    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]

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.wikia.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.fandom.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

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]

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]

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]

Preventing CTE The only way to prevent CTE is to avoid repetitive head injuries. Although many head injuries are difficult to predict or avoid, there are things you can do to reduce your risk. [nhs.uk]

“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]

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