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Not enough known about chronic brain injury

John Swartzberg

I’m skeptical that this will make a difference.  We have very little knowledge about repetitive trauma to the brain and chronic brain injury.  All a neurologist will be able to say after a concussion is that the player is back to his/her steady state.  There is little data to inform whether or not a second, third, fourth, etc. traumatic event to the head will lead to chronic problems.

Until we understand this topic, doctors will not be able to adequately advise patients (players) as to their long-term risk.

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Comments to "Not enough known about chronic brain injury":
    • Johhnny

      Look at all of the injuries, in particular, concussions in today’s sport of football…even last week DeSean Jackson had a head to head collision with a defender in which they both suffered concussions. See the story at ESPN.

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    • Survival Blanket

      I just watched a special on ESPN’s E:60 about a football player that only had 2 concussions. He ended up being mentally impaired and part of his skull had to be removed. Stories like this is what makes us want to learn more and more about brain injuries.

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    • Thanks to author for important information about chronic brain.I also want to write about this :
      One rationale for equating “brain death” (BD) with death is that it reduces the body to a mere collection of organs, as evidenced by purported imminence of asystole despite maximal therapy. To test this hypothesis, cases of prolonged survival were collected and examined for factors influencing survival capacity. METHODS: Formal diagnosis of BD with survival of 1 week or longer. More than 12,200 sources yielded approximately 175 cases meeting selection criteria; 56 had sufficient information for meta-analysis. Diagnosis was judged reliable if standard criteria were described or physicians made formal declarations. Data were analyzed by means of Kaplan-Meier curves, with treatment withdrawals as “censored” data, compared by log-rank test. RESULTS: Survival probability over time decreased exponentially in two phases, with initial half-life of 2 to 3 months, followed at 1 year by slow decline to more than 14 years.

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    • daisywright

      yes currently many cases of brain injury are coming forward. this is very serious issue related to health. many neurologist are making developments in brain surgery to give good life for people suffering from brain injuries.

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    • Jerome Chin MD PhD

      An independent neurologist will provide a better and more objective clinical evaluation of concussions than a team physician. Hopefully, this will lead to fewer concussions going unreported by the players or unnnoticed by the coaches. It is crucial for players to be kept on the bench after a concussion according to guidelines published by the American Academy of Neurology. The ImPACT computer progam can be used to assess whether a player has returned to his or her baseline neurological state. As long as the neurologist has the authority to keep a player out of the next game or two, this is a positive step for the NFL.

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