Concussion: Why The Symptoms Are Not Going Away

Contention around the issue of concussions is only growing, and we feel with the upcoming release of the movie “Concussion,” it is only appropriate to address this issue with the most up to date information.  For those who have suffered one or multiple concussions and life is never the same, the road going forward can be a difficult one. Fortunately, we are now in an era where these symptoms are validated and are not met with skepticism as they were even as recently as ten years ago.  However, main line therapies are lacking.  In today’s broadcast we will discuss the current literature, our experience with this information, and how this new information will allow doctors to create novel therapies for the post concussion syndrome sufferer.
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1.Melatonin reduces excitotoxic blood-brain barrier breakdown in neonatal rats.
Moretti R, Zanin A, Pansiot J, Spiri D, Manganozzi L, Kratzer I, Favero G, Vasiljevic A, Rinaldi VE, Pic I, Massano D, D’Agostino I, Baburamani A, La Rocca MA, Rodella LF, Rezzani R, Ek J, Strazielle N, Ghersi-Egea JF, Gressens P, Titomanlio L.
Neuroscience. 2015 Dec 17;311:382-97. doi: 10.1016/j.neuroscience.2015.10.044. Epub 2015 Nov 2.
PMID: 26542996 [PubMed – in process]
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2.High-fat diet-induced obesity exacerbates kainic acid-induced hippocampal cell death.
Kang DH, Heo RW, Yi CO, Kim H, Choi CH, Roh GS.
BMC Neurosci. 2015 Oct 30;16(1):72. doi: 10.1186/s12868-015-0202-2.
PMID: 26518260 [PubMed – in process] Free PMC Article
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3.Altered kynurenine pathway metabolism in autism: Implication for immune-induced glutamatergic activity.
Lim CK, Essa MM, de Paula Martins R, Lovejoy DB, Bilgin AA, Waly MI, Al-Farsi YM, Al-Sharbati M, Al-Shaffae MA, Guillemin GJ.
Autism Res. 2015 Oct 24. doi: 10.1002/aur.1565. [Epub ahead of print]
PMID: 26497015 [PubMed – as supplied by publisher]
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4.Smaller Dentate Gyrus and CA 2 & 3 volumes are associated with kynurenine metabolites in collegiate football athletes.
Meier T, Savitz J, Singh R, Teague TK, Bellgowan P.
J Neurotrauma. 2015 Oct 22. [Epub ahead of print]
PMID: 26493952 [PubMed – as supplied by publisher]
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5.Sports-Related Concussion.
Laker SR.
Curr Pain Headache Rep. 2015 Aug;19(8):41. doi: 10.1007/s11916-015-0510-3.
PMID: 26122533 [PubMed – in process]
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6.Ccr2 deletion dissociates cavity size and tau pathology after mild traumatic brain injury.
Gyoneva S, Kim D, Katsumoto A, Kokiko-Cochran ON, Lamb BT, Ransohoff RM.
J Neuroinflammation. 2015 Dec 3;12(1):228. doi: 10.1186/s12974-015-0443-0.
PMID: 26634348 [PubMed – in process] Free PMC Article
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7.Blood-Brain Barrier Disruption Is an Early Event That May Persist for Many Years After Traumatic Brain Injury in Humans.
Hay JR, Johnson VE, Young AM, Smith DH, Stewart W.
J Neuropathol Exp Neurol. 2015 Dec;74(12):1147-57. doi: 10.1097/NEN.0000000000000261.
PMID: 26574669 [PubMed – in process]
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8.Imatinib treatment reduces brain injury in a murine model of traumatic brain injury.
Su EJ, Fredriksson L, Kanzawa M, Moore S, Folestad E, Stevenson TK, Nilsson I, Sashindranath M, Schielke GP, Warnock M, Ragsdale M, Mann K, Lawrence AL, Medcalf RL, Eriksson U, Murphy GG, Lawrence DA.
Front Cell Neurosci. 2015 Oct 7;9:385. doi: 10.3389/fncel.2015.00385. eCollection 2015.
PMID: 26500491 [PubMed] Free PMC Article
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9.SNTF immunostaining reveals previously undetected axonal pathology in traumatic brain injury.
Johnson VE, Stewart W, Weber MT, Cullen DK, Siman R, Smith DH.
Acta Neuropathol. 2015 Nov 20. [Epub ahead of print]
PMID: 26589592 [PubMed – as supplied by publisher]
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10.Neurological consequences of traumatic brain injuries in sports.
Ling H, Hardy J, Zetterberg H.
Mol Cell Neurosci. 2015 May;66(Pt B):114-22. doi: 10.1016/j.mcn.2015.03.012. Epub 2015 Mar 12. Review.
PMID: 25770439 [PubMed – in process] Free Article
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11.Consequences of repeated blood-brain barrier disruption in football players.
Marchi N, Bazarian JJ, Puvenna V, Janigro M, Ghosh C, Zhong J, Zhu T, Blackman E, Stewart D, Ellis J, Butler R, Janigro D.
PLoS One. 2013;8(3):e56805. doi: 10.1371/journal.pone.0056805. Epub 2013 Mar 6.
PMID: 23483891 [PubMed – indexed for MEDLINE] Free PMC Article
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12.Non-impact, blast-induced mild TBI and PTSD: concepts and caveats.
Chen Y, Huang W.
Brain Inj. 2011;25(7-8):641-50. doi: 10.3109/02699052.2011.580313. Epub 2011 May 23. Review.
PMID: 21604927 [PubMed – indexed for MEDLINE]
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13.Stroke, mTBI, infection, antibiotics and beta blockade: Connecting the dots.
Griffin GD.
Med Hypotheses. 2015 Aug;85(2):224-9. doi: 10.1016/j.mehy.2015.05.005. Epub 2015 May 14.
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14.Vulnerability imposed by diet and brain trauma for anxiety-like phenotype: implications for post-traumatic stress disorders.
Tyagi E, Agrawal R, Zhuang Y, Abad C, Waschek JA, Gomez-Pinilla F.
PLoS One. 2013;8(3):e57945. doi: 10.1371/journal.pone.0057945. Epub 2013 Mar 6.
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15.Neuroimaging assessment of early and late neurobiological sequelae of traumatic brain injury: implications for CTE.
Sundman M, Doraiswamy PM, Morey RA.
Front Neurosci. 2015 Sep 24;9:334. doi: 10.3389/fnins.2015.00334. eCollection 2015. Review.
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16.Concussion in Chronic Traumatic Encephalopathy.
Stein TD, Alvarez VE, McKee AC.
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17.A critical review of chronic traumatic encephalopathy.
Iverson GL, Gardner AJ, McCrory P, Zafonte R, Castellani RJ.
Neurosci Biobehav Rev. 2015 Sep;56:276-93. doi: 10.1016/j.neubiorev.2015.05.008. Epub 2015 Jul 14. Review.
PMID: 26183075 [PubMed – in process]
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