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Cited by 55Amyotrophic Lateral Sclerosis ResearchTraumatic Brain Injury ResearchSpinal Cord Injury Research

Head and other physical trauma requiring hospitalisation is not a significant risk factor in the development of ALS

Turner, Martin R., Abisgold, Julie, Yeates, David G.R., Talbot, Kevin, Goldacre, Michael J.·2010·Journal of the Neurological Sciences
DOI 10.1016/j.jns.2009.10.010
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Abstract

The pathogenesis of ALS is not fully understood but, as an overwhelmingly sporadic disorder, it is likely to result from a complex mixture of polygenic and environmental risk factors operating in the context of an ageing nervous system. Physical trauma, in particular head injury, has been variably associated with both Alzheimer's and Parkinson's disease, and largely discounted in relation to multiple sclerosis. Several case-control studies in ALS have reported an association with physical trauma or head injury, but such studies are greatly limited by recall bias. The Oxford Record Linkage Study (ORLS) includes brief statistical abstracts of records of all hospital admissions, including day cases, and all deaths for a defined region of UK National Health Service hospitals. We used ORLS spanning a 36year period to study the relationship between recorded head, upper and lower limb trauma both before and after a diagnosis of ALS. Overall the adjusted rate ratio for ALS after head injury, compared with a control group, was 1.5 (95% confidence interval 1.1-2.1); but this elevation of risk was only found within the first year after injury, and we speculate that this is most likely to be a consequence of incipient ALS causing a tendency to fall. We conclude that there is no association between antecedent injury requiring hospitalisation, and the later development of ALS. The high risk of head injury observed in the immediate post-diagnosis period may be amenable to primary prevention.

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Crossref · 10.1016/j.jns.2009.10.010

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  • Two studies to date have examined head injury and ALS prospectively.

    “Two studies to date have examined head injury and ALS prospectively.”

    From Severe head injury and amyotrophic lateral sclerosis (2013) · cites this paper as [17]

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Authors
Turner, M. R., Abisgold, J., Yeates, D. G. R., Talbot, K., & Goldacre, M. J.
Affiliations
  • John Radcliffe Hospital (GB)
  • University of Oxford (GB)
Corresponding author
Turner, Martin R.
ORCID
Venue
Journal of the Neurological Sciences
Publisher
Elsevier BV
Published
2010-01
Volume
288
Issue
1-2
Pages
45-48
ISSN
0022-510X (ISSN-L)
DOI
10.1016/j.jns.2009.10.010
OpenAlex
W2072613454
Cited by
55
References
35
Citations by year
2026: 3 · 2024: 1 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 4 · 2018: 3 · 2017: 7 · 2016: 3 · 2015: 6 · 2014: 6 · 2013: 3 · 2012: 4
FWCI
2.30
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of the Neurological Sciences (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
  • Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Spinal Cord Injury Research
Keywords
amyotrophic lateral sclerosis, traumatic brain injury, physical trauma, hospitalization, risk factors, falls, primary prevention
MeSH terms
Amyotrophic Lateral Sclerosis, Extremities, United Kingdom, Craniocerebral Trauma, Hospitalization, Humans, Registries, Risk Factors, Wounds and Injuries, Cohort Studies, Motor Neuron Disease

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