Back to Search
Start Over
The utility of clinical criteria in patients with chronic traumatic encephalopathy
- Source :
- NeuroRehabilitation. 43:431-441
- Publication Year :
- 2019
- Publisher :
- IOS Press, 2019.
-
Abstract
- Background Repetitive traumatic brain injury (TBI) is associated with chronic traumatic encephalopathy (CTE), a progressive neurodegenerative disorder characterized by Alzheimer-like changes in the brain. CTE has been defined through neuropathological findings among deceased athletes and others exposed to repetitive TBI, but to date there are no definitive clinical criteria for CTE. Objective To evaluate the utility of currently proposed clinical criteria for CTE and suggest improvements. Methods We describe two well-characterized patients referred for evaluation of CTE and apply the four major proposed criteria for CTE. These criteria were further assessed in a cohort of patients referred to a neurobehavior clinic with or without a history of TBI. Results Without a CTE biomarker, the current criteria were of limited utility when applied to the two patient and the Neurobehavior cohort. Six items were extracted as potentially improving the clinical diagnosis of CTE: length of exposure to head impacts, a progressive course, specific psychiatric symptoms, frontal-executive dysfunction, parkinsonism and tremors, and targeted findings on neuroimaging. Conclusions The prevention and neurorehabilitation of CTE depends on clinical diagnosis, but, without a biomarker, the clinical diagnosis of CTE remains difficult. This report suggests that clinical criteria for CTE may be greatly improved with emphasis on several critical historical and clinical correlates of CTE.
- Subjects :
- Male
030506 rehabilitation
Pediatrics
medicine.medical_specialty
Traumatic brain injury
Physical Therapy, Sports Therapy and Rehabilitation
Chronic Traumatic Encephalopathy
03 medical and health sciences
Injury Severity Score
0302 clinical medicine
Neuroimaging
medicine
Humans
Dementia
Neurorehabilitation
business.industry
Parkinsonism
Rehabilitation
Middle Aged
medicine.disease
Chronic traumatic encephalopathy
Cohort
Biomarker (medicine)
Neurology (clinical)
0305 other medical science
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 18786448 and 10538135
- Volume :
- 43
- Database :
- OpenAIRE
- Journal :
- NeuroRehabilitation
- Accession number :
- edsair.doi.dedup.....21b2f09ed7fd4aebb366929830d86b1a