Old head injuries can linger for decades - brain trauma

"This problem is not unique to athletes," says Robert Cantu, a clinical professor in Boston University's Department of Neurosurgery and a senior adviser to the National

Football League on head and neck injuries. "Repetitive head injuries can be the result of physical abuse, car accidents, multiple falls. You may be at risk for CTE [chronic traumatic

encephalopathy] later in life." CTE and related head injuries can lead to short-term memory problems and difficulty in making reasoned judgments and decisions. For a person in his 50s,

these symptoms could be the result of head trauma. "If you had a loss of consciousness earlier in life, there may be greater likelihood of the onset of cognitive changes later in

life," reports Munro Cullum, professor of psychiatry, neurology and neurotherapeutics at the University of Texas Southwestern Medical Center in Dallas. Recovery time among older people

is dramatically different from younger patients. David Cifu, director of physical medicine and rehabilitation programs for the national Veterans Health Administration and chairman of the

physical medicine and rehabilitation department at Virginia Commonwealth University School of Medicine in Richmond, estimates that those over 55 who suffer a moderate to severe concussion

recover to about the same degree as younger patients. However, he observes, the recovery time may be twice as long as that for younger patients — a year or more for some seniors. For

example, seniors who have been injured in falls or accidents involving brain trauma "don't bicycle as well or walk as fast as they did" before the injury, Cifu says.

"Clinicians shouldn't give up too soon — and families shouldn't either." LONG-TERM EFFECTS When she was 10, Melanie Werth fell off a horse, hit her head on pavement and

was unconscious for about 20 minutes. When she was 16 her boyfriend had a car accident, and she was knocked out again. A year or so later, she was riding her bicycle "really fast"

on a country road when she skidded on a patch of gravel. She was knocked unconscious and broke her shoulder. In her mid-40s, she began experiencing loss of memory. "I knew my name, I

knew my husband, I knew my daughter," she recalls, "but I couldn't remember how to take my daughter to school. I forgot how to cook." She went to several doctors,

including a psychiatrist, who prescribed various medications, none of which worked. "I couldn't do things anymore that I had done all my life," she says. It wasn't until

she went to an endocrinologist that she started to get better. "She helped me a lot," Werth says. She began running, changed her diet and took up meditation. Today the 58-year-old

real estate agent in Fort Worth, Texas, believes these actions "have helped me find my way back to who I was. I feel good about doing my job. I feel competent again." Kevin Audley,

50, a counselor in Olathe, Kan., was a 20-year-old University of Kansas student in 1985 when he fell 2 1/2 stories from his frat house to the concrete sidewalk below during a party. He

didn't know the punch was spiked with grain alcohol. He spent a week in the intensive care unit. Besides injuries to both knees and his elbow, he also suffered a concussion. Today

he's a successful contributor to books, has launched several websites, counsels dozens of clients — but has trouble remembering what a friend had for lunch. "I don't hit the

save button for my short-term memory," Audley says. DEEP BRAIN STIMULATION