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Updated: Apr 5, 2026

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Concussion in Chronic Traumatic Encephalopathy.

Thor D Stein1, Victor E Alvarez, Ann C McKee

  • 1VA Boston Healthcare System, Boston, MA, 02130, USA, tdstein@bu.edu.

Current Pain and Headache Reports
|August 12, 2015
PubMed
Summary
This summary is machine-generated.

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Chronic traumatic encephalopathy (CTE) is a brain disease from repetitive head trauma. Years of exposure, not just concussions, drive CTE

Area of Science:

  • Neuroscience
  • Neuropathology
  • Sports Medicine

Background:

  • Chronic traumatic encephalopathy (CTE) is a progressive neurodegenerative disease linked to repetitive mild traumatic brain injury.
  • CTE presents with diverse clinical symptoms and distinct pathological changes, notably abnormal tau pathology in stress-concentrated brain regions.
  • Repetitive head trauma, common in contact sports, is the primary association, with a mean exposure of 15.4 years.

Purpose of the Study:

  • To review current knowledge on the exposure, clinical, and pathological associations of CTE.
  • To elucidate the relationship between head trauma characteristics and CTE development.
  • To explore the link between CTE and other neurodegenerative diseases like Alzheimer's.

Main Methods:

  • Review of published cases and data on CTE.

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  • Analysis of exposure duration, concussion history, latency periods, and age of death.
  • Examination of pathological findings, including tau and amyloid-beta deposition.
  • Main Results:

    • The mean latency from head trauma to symptom onset is 14.5 years, with a mean age of death of 59.3 years.
    • While most CTE subjects report concussions, 16% do not, indicating subconcussive hits can contribute.
    • Longer exposure duration, rather than the number of concussions, correlated with worse tau pathology.

    Conclusions:

    • The chronic and repetitive nature of head trauma, regardless of concussive symptoms, is the key driver of CTE.
    • CTE is associated with accelerated amyloid-beta deposition, worsening disease severity.
    • Understanding these associations is crucial for diagnosing and potentially preventing CTE.