The Neuropsychiatric Aspects of Boxing

Mendez, Mario F.

doi:10.2190/cumk-tht1-x98m-wb4c

Cited by 133 publications

(79 citation statements)

References 66 publications

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“…In 1937, the designation "dementia pugilistica" was proposed 2 . critchley, in 1957 3 , named it "chronic progressive encephalopathy of the boxer", being more descriptive in that it represents the long term cumulative effect of repetitive head trauma 1,[3][4][5] . however, the label dementia pugilistica has been more frequently used.…”

Section: Martland In 1928mentioning

confidence: 99%

Dementia Pugilistica with clinical features of Alzheimer's disease

Areza-Fegyveres

Rosemberg

Castro

et al. 2007

Arq. Neuro-Psiquiatr.

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-A 61-year-old ex-boxer presented with a three-year history of progressive memory decline. During a seven-year follow-up period, there was a continuous cognitive decline, very similar to that usually observed in Alzheimer's disease. Parkinsonian, pyramidal or cerebellar signs were conspicuously absent. Neuropathological examination revealed the typical features of dementia pugilistica: cavum septi pellucidi with multiple fenestrations, numerous neurofibrillary tangles in the cerebral isocortex and hippocampus (and rare senile plaques). Immunohistochemistry disclosed a high number of tau protein deposits and scarce beta-amyloid staining. this case shows that dementia pugilistica may present with clinical features practically undistinguishable from Alzheimer's disease.Key worDs: dementia, dementia pugilistica, punch drunk, Alzheimer's disease, chronic traumatic encephalopathy, parkinsonian/motor signs, neuropathology.Dementia pugilistica com características clínicas de doença de alzheimer resumo -um ex-boxeador de 61 anos apresentou-se com história de três anos de perda progressiva de memória e evoluiu com declínio cognitivo lentamente progressivo, sugestivo de doença de Alzheimer, durante seguimento de sete anos. sinais parkinsonianos, piramidais ou cerebelares estiveram ausentes durante toda a evolução. exame neuropatológico evidenciou características típicas de dementia pugilistica: cavum do septo pelúcido com múltiplas fenestrações, numerosos emaranhados neurofibrilares no isocór-tex cerebral e hipocampo (e raras placas senis). Imuno-histoquímica confirmou número elevado de depó-sitos de proteína tau e raros de beta-amilóide. este caso demonstra que dementia pugilistica pode apresentar quadro clínico indistinguível daquele da doença de Alzheimer.PAlAvrAs-chAve: demência, dementia pugilistica, síndrome punch-drunk, doença de Alzheimer, encefalopatia traumática crônica, sinais motores/parkinsonianos, neuropatologia. 1 , first brought the expression "punch drunk syndrome" to medical literature, hitherto used by the lay public and boxing fans to name the condition that some boxers develop during or after their fighting career. the syndrome consisted of extrapyramidal and cerebellar signs and symptoms, associated or not, with cognitive and behavioral abnormalities. In 1937, the designation "dementia pugilistica" was proposed 2 . critchley, in 1957 3 , named it "chronic progressive encephalopathy of the boxer", being more descriptive in that it represents the long term cumulative effect of repetitive head trauma 1,3-5 . however, the label dementia pugilistica has been more frequently used. we report the clinical and neuropathological findings of a case of dementia pugilistica presenting a cognitive profile similar to Alzheimer's disease (AD). Informed consent to publish these data was given by the patient's wife and son.Case the patient was a 61 year-old former boxer with six years of education, who presented with a three-year history of memory decline in which he kept forgetting recent events, names of kno...

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Section: Martland In 1928mentioning

confidence: 99%

Dementia Pugilistica with clinical features of Alzheimer's disease

Areza-Fegyveres

Rosemberg

Castro

et al. 2007

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

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“…9 The clinical syndrome related to chronic traumatic encephalopathy in boxing is characterized by impulsive behavior, cognitive dysfunction, and in some cases, violence or suicide. 10 Conventional MR imaging, such as T1-weighted and T2-weighted anatomic scans, cannot assess mild white matter disruption. Because DTI is sensitive to microstructural changes in white matter, this technique is often used to investigate white matter integrity in patients with TBI.…”

mentioning

confidence: 99%

Diffusion Measures Indicate Fight Exposure-Related Damage to Cerebral White Matter in Boxers and Mixed Martial Arts Fighters

Shin

Mahmoud

Sakaie

et al. 2013

American Journal of Neuroradiology

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BACKGROUND AND PURPOSE: Traumatic brain injury is common in fighting athletes such as boxers, given the frequency of blows to the head. Because DTI is sensitive to microstructural changes in white matter, this technique is often used to investigate white matter integrity in patients with traumatic brain injury. We hypothesized that previous fight exposure would predict DTI abnormalities in fighting athletes after controlling for individual variation.

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“…Os transtornos mentais associados à epilepsia são tradicionalmente divididos em periictais e interictais (Marchetti e Damasceno, 2000;Falret, 1860;Toone, 1981;Mendez, 1995;Sachdev, 1998). A característica principal dos transtornos mentais periictais é a relação temporal estreita entre estes e as crises epilépticas, ocorrendo imediatamente antes, durante ou depois delas.…”

Section: Classificação Dos Transtornos Mentais Associados à Epilepsiaunclassified

Transtornos mentais associados à epilepsia

Marchetti

Castro

Kurcgant³

et al. 2005

Rev. psiquiatr. clín.

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ResumoEpilepsia é o mais freqüente transtorno neurológico sério, atingindo 50 milhões de pessoas no mundo, 40 milhões delas em países em desenvolvimento. Embora seja um problema predominantemente tratável, nestes países a maioria dos pacientes permanece sem tratamento. Provavelmente uma das principais causas para isto seja o estigma que atinge as pessoas com epilepsia. Tal fato se agrava ainda mais quando à epilepsia se associam transtornos mentais, que ocorrem com prevalência aumentada. Os pacientes com epilepsia e transtornos mentais sofrem o que se chama de "duplo estigma", que freqüentemente os deixa sem tratamento. É provável, particularmente em países em desenvolvimento, que psiquiatras se defrontem com pacientes com epilepsia nos diferentes locais de atendimento. Os autores revisam diferentes aspectos dos principais transtornos mentais associados à epilepsia.Palavras-chave: Epilepsia, transtornos mentais, transtornos psicóticos, transtornos depressivos, crises não-epilépticas psicogênicas. AbstractEpilepsy is the most common serious neurological disorder. Worldwide, around 50 million people have epilepsy, 40 million of which in developing countries. Though epilepsy is predominantly treatable, most patients in these countries remain without treatment. It is likely that one of the main reasons is the stigma associated with epilepsy. This problem increases when mental disorders are associated with epilepsy, a fairly frequent occurrence. Patients with epilepsy and mental disorders are exposed to a "double stigma", which frequently leads to complete absence of treatment. It is probable that, particularly in developing countries, psychiatrists will be involved with the treatment of people with epilepsy. The authors review different aspects of the most important mental disorders associated with epilepsy.

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The Neuropsychiatric Aspects of Boxing

Cited by 133 publications

References 66 publications

Dementia Pugilistica with clinical features of Alzheimer's disease

Dementia Pugilistica with clinical features of Alzheimer's disease

Diffusion Measures Indicate Fight Exposure-Related Damage to Cerebral White Matter in Boxers and Mixed Martial Arts Fighters

Transtornos mentais associados à epilepsia

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