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We all know that concussions are bad for us. It seems like common sense that a blow tithe head would have negative consequences, but the damage actually happens at a really tiny level. Concussions are often referred to as mild Traumatic Brain Injuries. They happen when force is transmitted to the head that leads to a collision between the brain and the skull. Inside your skull, your brain is suspended in cerebrospinal fluid. It looks like water and acts as a cushion for your brain. But it doesn't protect your brain from hard impacts. Your brain is soft tissue it's squishy, kind of like jello. So when you re hit with enough force, your brain hits the inside of your skull. From the impact, your brain cells or neurons actually become deformed. What cops most of the damage are your axons, the long fiber of the neuron that carries messages from the cell body to other cells. Axons are like Silly Putty they're pretty elastic and can happily jiggle around in your head day to day. But when they're pulled rapidly they break. From a concussion, axons also stretch and swell. This means they lose their elasticity;they're not as good at carrying messages to other cells, or they stop sending signals altogether. To your brain, concussions mean damage at a tiny cellular level. To us, that means dizziness, confusion, mental fogginess, headaches and impairments in executive functioning. When we think of concussions, a lot of people associate them with getting knocked out. But this is a common misconception you don't need to get knocked out to have a concussion. The terrifying thing is that some people don't even notice when they are concussed often there are no physical symptoms, and often they don't even come from a blotto the head. In football, for example, a hard tackle to your body can cause your brain Tobit the inside of your skull. Only one concussion can cause lasting damage. And smaller hits, the concussions that go unnoticed or subconcussive blows, can lead to some major long term consequences. It s hypothesized that axons stretching and deforming over and over again is linked to Chronic Traumatic Encephalopathy or CTE.CTE is progressive brain disease that leads to a decline in memory and cognition, depression, poor impulse control and eventually, dementia. And CTE has only been found in those with history of repetitive brain trauma and in people as young as 27. The damage from concussions or subconcussive blows accumulates over time and triggers thebuild-up of a protein called tau. Huge amounts of tau protein live in diseased neurons as neurofibrillary tangles, like tangled clump of string in a certain pattern throughout the brain. If enough tau protein builds up, it blocks off pathways in the brain and leads to cell death. Tau protein destroys brain cells. Right now, CTE can only be diagnosed after death these brains are stained to show you where the proteins are, and it's pretty clear to see the damage. Hopefully more research will lead to a way to...
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