“…Reports regarding long-term brain changes after milder injuries have been mixed, and the results were often complicated by factors concerned with the number and severity/complications of injuries, genetic risk, and mental states and behavior (Hayes et al, 2017;LoBue et al, 2019). Diffuse axonal injury has been found in TBI of any severity and post-mortem studies reported widespread axonal pathology could continue for a sufficient length of time (weeks to months, even years) after mild-to-severe TBI in humans (Blumbergs et al, 1989;Johnson et al, 2013a,b;Shetty et al, 2014;Logsdon et al, 2015). A continuum of microglia activation across a wide range of TBI conditions was also observed in animal models (Nagamoto-Combs et al, 2007;Nagamoto-Combs et al, 2010) and human autopsy (form different cause) (Gentleman et al, 2004;Johnson et al, 2013a), even up to 18 years after TBI, and this was related to the consistently ongoing white matter degeneration (Johnson et al, 2013a).…”