Author Interviews, Brain Injury, NEJM / 09.06.2022
Low Incidence of CTE Found Among US Service Members
MedicalResearch.com Interview with:
Daniel Perl MD
Uniformed Services University of the Health Sciences
Professor of Pathology at USUHS and
Director of the CNRM's Brain Tissue Repository
Uniformed Services University of the Health Sciences
Bethesda, Maryland
MedicalResearch.com: What is the background for this study?
Response: Chronic traumatic encephalopathy (CTE) is a brain disorder that is predominantly seen in individuals who have suffered from repeated impact head trauma, such as occurs in former boxers or American football players. CTE has very specific alterations in the brain and can only be diagnosed at autopsy. Some have claimed that, in addition to former contact sport participants, individuals who served in the military and were repeatedly exposed to blast (explosions) are also at increased risk for developing CTE. However, this claim has been based on a rather small number of anecdotal cases. The DoD/USU Brain Tissue Repository is the only facility in the world that is exclusively dedicated to the collection and study of donated brain specimens derived from deceased active duty and retired service members. We used the resources of this facility to examine 225 consecutively collected brain specimens for the presence of CTE. This would to provide a view of how common CTE was in this setting and, when diagnosed, was the disease correlated with prior blast exposure, participation in contact sports and other forms of head trauma, and with certain forms of symptomatology such as development of PTSD, alcohol/substance abuse, death by suicide, etc. (more…)