Chronic traumatic encephalopathy - confusion and controversies
Open accessAbstract
The term chronic traumatic encephalopathy (CTE) has recently entered public consciousness via media reports and even a Hollywood movie. However, in contrast to general impressions, the incidence of CTE is unknown, the clinical diagnostic criteria have not been agreed upon and the current neuropathological characterization of CTE is acknowledged as preliminary. Additionally, few studies have compared the pathologies of CTE with those of other neurodegenerative disorders or of age-matched controls. Consequently, disagreement continues about the neuropathological aspects that make CTE unique. Furthermore, CTE is widely considered to be a consequence of exposure to repeated head blows, but evidence suggests that a single moderate or severe traumatic brain injury can also induce progressive neuropathological changes. These unresolved aspects of CTE underlie disparate claims about its clinical and pathological features, leading to confusion among the public and health-care professionals alike.
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The term chronic traumatic encephalopathy describes sports head injury, which is not yet fully characterised and covers a broad range of neuropathologies and outcomes, with current views largely conjecture.
“The term chronic traumatic encephalopathy describes sports head injury, which is not yet fully characterised and covers a broad range of neuropathologies and outcomes, with current views largely conjecture.73”
From Dementia prevention, intervention, and care: 2020 report of the Lancet Commission (2020) · cites this paper as [73]
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- Authors
- Smith, D. H., Johnson, V. E., Trojanowski, J. Q., & Stewart, W.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Smith, Douglas H.
- Venue
- Nature Reviews Neurology
- Published
- 2019-01-21
- Volume
- 15
- Issue
- 3
- Pages
- 179-183
- ISSN
- 1759-4758 (ISSN-L)
- 1759-4766
- PMC
- PMC6532781
- OpenAlex
- W2913684613
- Cited by
- 166
- References
- 88
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 22 · 2023: 21 · 2022: 23 · 2021: 31 · 2020: 36 · 2019: 14
- FWCI
- 3.79
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- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
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- Locations
- Nature Reviews Neurology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- ENLIGHTEN (Jurnal Bimbingan dan Konseling Islam) (acceptedVersion, cc-by-sa)
- Funders
- National Institute on Aging (P30AG010124, P01AG017586)
- National Institute of Neurological Disorders and Stroke (R01NS038104, R01NS092398, R01NS094003)
- Topics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Health Sciences › Medicine › Neurology › Traumatic Brain Injury and Neurovascular Disturbances
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
- Keywords
- chronic traumatic encephalopathy, repetitive head impacts, traumatic brain injury, neuropathology, clinical criteria, incidence, neurodegenerative diseases, public misconceptions
- MeSH terms
- Chronic Traumatic Encephalopathy, Humans
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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