Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Navigating the Complexities of Traumatic Encephalopathy Syndrome (TES): Current State and Future Challenges

Version 1 : Received: 24 October 2023 / Approved: 25 October 2023 / Online: 25 October 2023 (08:57:48 CEST)

A peer-reviewed article of this Preprint also exists.

Fesharaki-Zadeh, A. Navigating the Complexities of Traumatic Encephalopathy Syndrome (TES): Current State and Future Challenges. Biomedicines 2023, 11, 3158. Fesharaki-Zadeh, A. Navigating the Complexities of Traumatic Encephalopathy Syndrome (TES): Current State and Future Challenges. Biomedicines 2023, 11, 3158.

Abstract

Chronic traumatic encephalopathy (CTE) is a unique neurodegenerative disease that is associated with repetitive head impacts (RHI) in both civilian and military settings. In 2014, the research criteria for the clinical manifestation of CTE, traumatic encephalopathy syndrome (TES) were proposed to improve the clinical identification and understanding of the complex neuropathological phenomena underlying CTE. This review provides a comprehensive overview of the current understanding of the neuropathological and clinical features of CTE, proposed biomarkers of traumatic brain injury (TBI) in both research and clinical settings, and a range of treatments based on previous preclinical and clinical research studies. Due to the heterogeneity of TBI, there is no universally agreed-upon serum, CSF, or neuroimaging marker for its diagnosis. However, as our understanding of this complex disease continues to evolve, it is likely that there will be more robust, early diagnostic methods and effective clinical treatments. This is especially important given the increasing evidence of a correlation between TBI and neurodegenerative conditions, such as Alzheimer's disease and CTE1. As public awareness of these conditions grows, it is imperative to prioritize both basic and clinical research, as well as the implementation of necessary safe and preventative measures.

Keywords

chronic traumatic encephalopathy (CTE); Alzheimer’s disease (AD); traumatic encephalopathy syndrome (TES); traumatic brain injury (TBI); repetitive head impacts (RHI)

Subject

Medicine and Pharmacology, Neuroscience and Neurology

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