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2017 ; 26
(3
): 172-177
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An Autopsy Proven Child Onset Chronic Traumatic Encephalopathy
#MMPMID28680303
Lee K
; Kim SI
; Lee Y
; Won JK
; Park SH
Exp Neurobiol
2017[Jun]; 26
(3
): 172-177
PMID28680303
show ga
Here we present an autopsy case of chronic traumatic encephalopathy (CTE) in a
36-year-old man. He had a history of febrile seizures at the age of four and was
severely demented at age 10 when he was admitted to a mental hospital. He had
suffered repetitive self-harm, such as frequent banging of the head on the wall
in his hospital record, but he had no clear history between the ages of four and
ten. Autopsy revealed global cerebral atrophy, including the basal ganglia,
thalamus, hippocampus, amygdala, mammilary bodies and lateral geniculate bodies.
This case showed typical pathological features of CTE. Phosphorylated tau
(p-tau)-positive neurofibrillary tangles (NFTs) and neuropil threads (NT) we are
widely distributed in the brain, especially in the depth of the cerebral sulci.
NFT and NT were also found in the basal ganglia, thalamus, amygdala and
brainstem. Scanty ?-amyloid deposits were found in the motor and sensory
cortices, but ?-synuclein was completely negative in the brain. This example
showed that CTE can occur in young ages and that even children can experience CTE
dementia.
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