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Association of Cavum Septum Pellucidum and Cavum Vergae With Cognition, Mood, and Brain Volumes in Professional Fighters
- Source :
- JAMA Neurol
- Publication Year :
- 2019
-
Abstract
- IMPORTANCE: Many studies have investigated the imaging findings showing sequelae of repetitive head trauma, with mixed results. OBJECTIVE: To determine whether fighters (boxers and mixed martial arts fighters) with cavum septum pellucidum (CSP) and cavum vergae (CV) have reduced volumes in various brain structures or worse clinical outcomes on cognitive and mood testing. DESIGN, SETTING, AND PARTICIPANTS: This cohort study assessed participants from the Professional Fighters Brain Health Study. Data were collected from April 14, 2011, to January 17, 2018, and were analyzed from September 1, 2018, to May 23, 2019. This study involved a referred sample of 476 active and retired professional fighters. Eligible participants were at least 18 years of age and had at least a fourth-grade reading level. Healthy age-matched controls with no history of trauma were also enrolled. EXPOSURES: Presence of CSP, CV, and their total (additive) length (CSPV length). MAIN OUTCOMES AND MEASURES: Information regarding depression, impulsivity, and sleepiness among study participants was obtained using the Patient Health Questionnaire depression scale, Barrett Impulsiveness Scale, and the Epworth Sleepiness Scale. Cognition was assessed using raw scores from CNS Vital Signs. Volumes of various brain structures were measured via magnetic resonance imaging. RESULTS: A total of 476 fighters (440 men, 36 women; mean [SD] age, 30.0 [8.2] years [range, 18-72 years]) and 63 control participants (57 men, 6 women; mean [SD] age, 30.8 [9.6] years [range, 18-58 years]) were enrolled in the study. Compared with fighters without CV, fighters with CV had significantly lower mean psychomotor speed (estimated difference, –11.3; 95% CI, –17.4 to –5.2; P = .004) and lower mean volumes in the supratentorium (estimated difference, –31 191 mm(3); 95% CI, –61 903 to –479 mm(3); P = .05) and other structures. Longer CSPV length was associated with lower processing speed (slope, –0.39; 95% CI, –0.49 to –0.28; P
- Subjects :
- Adult
Male
Pediatrics
medicine.medical_specialty
Adolescent
Cohort Studies
03 medical and health sciences
Young Adult
0302 clinical medicine
Cognition
Head Injuries, Closed
medicine
Humans
030212 general & internal medicine
Depression (differential diagnoses)
Aged
Original Investigation
business.industry
Mood Disorders
Epworth Sleepiness Scale
Brain
Boxing
Middle Aged
Patient Health Questionnaire
Affect
medicine.anatomical_structure
Mood
Cohort
Female
Septum Pellucidum
Neurology (clinical)
business
Cognition Disorders
Cavum septum pellucidum
030217 neurology & neurosurgery
Martial Arts
Cohort study
Cavum vergae
Subjects
Details
- ISSN :
- 21686157
- Volume :
- 77
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- JAMA neurology
- Accession number :
- edsair.doi.dedup.....ab2b3e0dcfead06c2fb9b016649e29cf