Science Discussion Series: Yesterday was the Super Bowl, and today we
are hosting a team of concussion experts. Let’s discuss pediatric,
sports-related, military-related, and chronic brain injuries!
Abstract
Hi reddit! In honor of the Super Bowl yesterday, we have assembled a
panel of clinicians and researchers who specialize in the study of
traumatic brain injury (often referred to as concussions). TBI is of
growing interest to researchers, especially with questions surrounding
the effects of chronic (repeated) injuries. Recent autopsies of deceased
professional football players have found evidence of chronic traumatic
encephalopathy, a neurodegenerative disease thought to be caused by
chronic TBI. TBI is also a problem in other groups as well. Military
members are often at risk of TBI– between 2000 and 2012, there were
over 310,000 reported TBIs in active duty military serving in Middle
Eastern combat theaters. Likewise, in the general population, children
and older adults experience the highest rates of TBI (according to
recent data from the Centers for Disease Control). If you have ever had
questions about head injury, or some of the long-term outcomes of head
injury, now is the time to ask! The panel we have assembled represent
expertise in pediatric, sports-related, military-related, and chronic
brain injury. Our panel includes: Dr. Robert Stern (u/RobertAStern) - I
am a Professor of Neurology, Neurosurgery, and Anatomy & Neurobiology
at Boston University (BU) School of Medicine, where I am also Director
of the Clinical Core of the BU Alzheimer’s Disease Center. My primary
area of research is chronic traumatic encephalopathy (CTE) and the
long-term effects of repetitive head impacts in athletes. I am
Co-Founder and Director of Clinical Research for the BU CTE Center, and
I am proud to be the lead investigator of the DIAGNOSE CTE Research
Project, a $16 million, 7-year grant (funded by the National Institutes
of Health) for a multi-center, longitudinal study to develop methods of
diagnosing CTE during life as well as examining potential risk factors
of the disease. I have published over 160 peer-reviewed journal
articles, as well as two new textbooks, including Sports Neurology. As a
clinical neuropsychologist, I have also developed several commonly used
cognitive, including the Neuropsychological Assessment Battery (NAB).
Dr. Keith Yeates (u/KeithYeates) - Keith Yeates: I am a pediatric
neuropsychologist by training. I hold the Ronald and Irene Ward Chair in
Pediatric Brain Injury and am Professor and Head of the Department of
Psychology at the University of Calgary in Alberta, Canada. I head the
University’s Integrated Concussion Research Program. I have been doing
clinical and research work on TBI in children for about 30 years. Dr.
Elisabeth Wilde (u/LisaWildePhD) - I am an Associate Professor in the
Department of Neurology at the University of Utah and an Associate
Professor in the Departments of Physical Medicine and Rehabilitation,
Neurology and Radiology at Baylor College of Medicine. I also hold an
appointment as a Health Research Scientist in the US Veterans Affairs
Health System (VA Salt Lake City Healthcare System). My research
interests include the use of advanced forms of neuroimaging to enhance
diagnosis and prognosis, monitor recovery and neurodegeneration,
evaluate the efficacy of therapeutic intervention, and elucidate aspects
of neuroplasticity in traumatic brain injury. As a clinical
neuropsychologist, I have an interest in brain-behavior relationships
involving cognitive, neurological, and functional outcome and clinical
trials in traumatic brain injury and associated comorbidities. For the
last 20 years, I have worked with patients with traumatic brain injury
and concussion across a spectrum of age, severity, and acuity, with
particular interests in children and adolescents, athletes, and Veteran
and Active Duty Service Members with concussion or traumatic brain
injury. I have participated in over 40 federally-funded clinical
projects in TBI, and authored over 120 peer-reviewed publications. I am
currently the Director of the Neuroimaging Core for the Department of
Defense and Veterans Affairs co-funded Chronic Effects of Neurotrauma
Consortium (CENC) Neuroimaging Core and has been actively involved in
the International Common Data Elements (CDE) initiative and co-leads the
Enhancing Neuroimaging Genetics Meta-analysis (ENIGMA) Working Group for
TBI. Dr. Vicki Anderson (u/VickiAndersonPhD) - I am a clinical
neuropsychologist at the University of Melbourne and Royal Children’s
Hospital, Australia. My work spans clinical practice, research and
teaching, with my focus being on children with acquired brain injury and
their families. In particular, I am interested in the impact of
environment and family on socio-emotional recovery, and on developing
parent-based psychosocial interventions to optimise child recovery. Dr.
Chris Giza (u/grizwon) - I graduated from Dartmouth College, received my
M.D. from West Virginia University and completed my training in
Neurology at UCLA. Then I worked on the Yosemite Search and Rescue team
before joining the UCLA Brain Injury Research Center in 1998. I served
on the California State Athletic Commission from 2005-2015, and traveled
to Afghanistan in 2011 as a civilian advisor to the Department of
Defense. I founded and direct the UCLA Steve Tisch BrainSPORT program,
and serve as Medical Director for the Operation MEND-Wounded Warrior
Project mild TBI program. I co-authored concussion / mild TBI guidelines
for the American Academy of Neurology, Centers for Disease Control and
the Concussion in Sport Group (Berlin guidelines), and have been a
clinical consultant for the NFL, NHL/NHLPA, NBA, MLB and Major League
Soccer. I am a Professor of Pediatric Neurology and Neurosurgery at the
David Geffen School of Medicine and UCLA Mattel Children’s Hospital.