CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2022; 41(04): e362-e367
DOI: 10.1055/s-0042-1749350
Review Article

Chronic Traumatic Encephalopathy in Sports Practice: A Literature Review

Encefalopatia traumática crônica na prática de esportes: Uma revisão da literatura
1   Neurosurgery, Monte Sinai Hospital in Juiz de Fora, MG, Brazil
,
2   Faculty of Medicine (FAME), Presidente Antônio Carlos University Center (UNIPAC-JF), Juiz de Fora, MG, Brazil
,
2   Faculty of Medicine (FAME), Presidente Antônio Carlos University Center (UNIPAC-JF), Juiz de Fora, MG, Brazil
,
2   Faculty of Medicine (FAME), Presidente Antônio Carlos University Center (UNIPAC-JF), Juiz de Fora, MG, Brazil
,
2   Faculty of Medicine (FAME), Presidente Antônio Carlos University Center (UNIPAC-JF), Juiz de Fora, MG, Brazil
,
2   Faculty of Medicine (FAME), Presidente Antônio Carlos University Center (UNIPAC-JF), Juiz de Fora, MG, Brazil
,
2   Faculty of Medicine (FAME), Presidente Antônio Carlos University Center (UNIPAC-JF), Juiz de Fora, MG, Brazil
,
3   Federal University of Juiz de Fora (UFJF), Juiz de Fora, MG, Brazil
,
1   Neurosurgery, Monte Sinai Hospital in Juiz de Fora, MG, Brazil
› Author Affiliations

Abstract

Chronic traumatic encephalopathy (CTE) is a neurodegenerative syndrome caused by repetitive and cumulative head trauma. Due to the widespread practice of contact and collision sports, a discussion of the long-term repercussions of repeated head trauma is imperative. The present literature review, performed through the SciELO, PUBMED, and BVS-Bireme databases, includes studies conducted since the year 2000, which established the relationship between CTE and the practice of sports. The diagnosis of CTE was notably present in individuals practicing sports that involve repeated traumatic brain injuries. The noticeable changes triggered by CTE include a series of clinical and neuropathological manifestations that can help in the differentiation from other tauopathies.

Resumo

A encefalopatia traumática crônica (ETC) é uma síndrome neurodegenerativa causada por traumatismo craniano repetitivo e cumulativo. Com a prática disseminada de esportes de contato, torna-se importante discutir as repercussões a longo prazo de traumatismos cranianos repetidos. A presente revisão da literatura, executada através das bases de dados SciELO, PUBMED e BVS-Bireme, inclui estudos realizados desde o ano de 2000 que estabeleceram a relação entre a ETC e a prática de esportes. O diagnóstico de ETC esteve notadamente presente em indivíduos praticantes de esportes que envolvem repetidas lesões cerebrais traumáticas. As alterações perceptíveis desencadeadas pela ETC incluem uma série de manifestações clínicas e neuropatológicas, que podem auxiliar na diferenciação de outras tauopatias.



Publication History

Received: 05 June 2021

Accepted: 25 April 2022

Article published online:
07 July 2022

© 2022. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Arena JD, Smith DH, Lee EB. et al. Tau immunophenotypes in chronic traumatic encephalopathy recapitulate those of ageing and Alzheimer's disease. Brain 2020; 143 (05) 1572-1587
  • 2 Martland H. Soco bêbado. J Am Med Assoc 1928; 91: 1103-1107
  • 3 Millspaugh JA. Dementia pugilistica. U S Nav Med Bull 1937; 35: 297-303
  • 4 Critchley M. Medical aspects of boxing, particularly from a neurological standpoint. BMJ 1957; 1 (5015): 357-362
  • 5 Ling H, Kara E, Revesz T. et al. Concomitant progressive supranuclear palsy and chronic traumatic encephalopathy in a boxer. Acta Neuropathol Commun 2014; 2 (01) 24
  • 6 Gavett BE, Stern RA, McKee AC. Chronic traumatic encephalopathy: a potential late effect of sport-related concussive and subconcussive head trauma. Clin Sports Med 2011; 30 (01) 179-188 , xi
  • 7 Nascimento LES, Rocha WN, Sanches TP. A importância dos exames de imagem na detecção precoce de demência pugilística. UNILUS Ensino e Pesquisa 2016; 13 (30) 249
  • 8 Areza-Fegyveres R, Caramelli P, Nitrini R. Encefalopatia traumática crônica do boxeador (dementia pugilistica). Rev Psiq Clín 2005; 32 (01) 17-26
  • 9 Ortiz MI, Cánovas GM. Conmoción cerebral asociado a un traumatismo craneoencefálico en los deportista. Medwave 2013; 13 (01) e5617
  • 10 Damiani D, Laudanna N, Barril C, Sanches R, Borelli NC, Damiani D. Encefalopatias: etiologia, fisiopatologia e manuseio clínico de algumas das principais formas de apresentação da doença. Rev Bras Clin Med 2013; 1 (11) 67-74
  • 11 Theadom A, Mahon S, Hume P. et al. Incidence of Sports-Related Traumatic Brain Injury of All Severities: A Systematic Review. Neuroepidemiology 2020; 54 (02) 192-199
  • 12 McKee AC, Cantu RC, Nowinski CJ. et al. Chronic traumatic encephalopathy in athletes: progressive tauopathy after repetitive head injury. J Neuropathol Exp Neurol 2009; 68 (07) 709-735
  • 13 Omalu B. Chronic traumatic encephalopathy. Prog Neurol Surg 2014; 28: 38-49
  • 14 McKee AC, Stern RA, Nowinski CJ. et al. The spectrum of disease in chronic traumatic encephalopathy. Brain 2013; 136 (Pt 1): 43-64
  • 15 Fesharaki-Zadeh A. Chronic Traumatic Encephalopathy: A Brief Overview. Front Neurol 2019; 10: 713
  • 16 Montenigro PH, Baugh CM, Daneshvar DH. et al. Clinical subtypes of chronic traumatic encephalopathy: literature review and proposed research diagnostic criteria for traumatic encephalopathy syndrome. Alzheimers Res Ther 2014; 6 (05) 68
  • 17 Jordan BD. The clinical spectrum of sport-related traumatic brain injury. Nat Rev Neurol 2013; 9 (04) 222-230
  • 18 Aldag M, Armstrong RC, Bandak F. et al. The Biological Basis of Chronic Traumatic Encephalopathy following Blast Injury: A Literature Review. J Neurotrauma 2017; 34 (S1): S26-S43
  • 19 Andrade AFD, Paiva WS, Amorim RLOD, Figueiredo EG, Neto ER, Teixeira MJ. Mecanismos de lesão cerebral no traumatismo cranioencefálico. AMB Rev Assoc Med Bras 2020; 55 (01) 75-81
  • 20 Giza CC, Hovda DA. The neurometabolic cascade of concussion. J Athl Train 2001; 36 (03) 228-235
  • 21 Cantu RC. Neurologic Athletic Head and Spine Injuries. WB Saunders Company; 2000: 80-100
  • 22 Cherian L, Hlatky R, Robertson CS. Nitric oxide in traumatic brain injury. Brain Pathol 2004; 14 (02) 195-201
  • 23 Omalu BI, DeKosky ST, Minster RL, Kamboh MI, Hamilton RL, Wecht CH. Chronic traumatic encephalopathy in a National Football League player. Neurosurgery 2005; 57 (01) 128-134 , discussion 128–134
  • 24 Koga S, Dickson DW, Bieniek KF. Chronic traumatic encephalopathy pathology in multiple system atrophy. J Neuropathol Exp Neurol 2016; 75 (10) 963-970
  • 25 Sparks P, Lawrence T, Hinze S. Neuroimaging in the Diagnosis of Chronic Traumatic Encephalopathy: A Systematic Review. Clin J Sport Med 2020; 30 (Suppl 1) S1-S10
  • 26 Omalu BI, DeKosky ST, Hamilton RL. et al. Chronic traumatic encephalopathy in a national football league player: part II. Neurosurgery 2006; 59 (05) 1086-1092 , discussion 1092–1093
  • 27 Victoroff J. Traumatic encephalopathy: review and provisional research diagnostic criteria. NeuroRehabilitation 2013; 32 (02) 211-224