Table 4.
Neuropathological features of the six footballers included in this study
Case | Criteria-confirmed CTE [30] | Brain weight (g) | Septal abnormalities | Nigral cell loss | Hippocampal sclerosis | Braak NFT Stage | Thal Phase | ‘ABC’ Score for AD (level) | CAA | TDP-43 | Vascular pathology | Other pathological diagnosis |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | Yes | 1250 | CSP, F | Severe | – | IV | 4 | A3B2C2 (intermediate) | Moderate | Diffuse (Type A, Stage 6) | – | CBD |
2 | Yes | 1150 | F | – | Yes | IV | 3 | A2B2C2 (Intermediate) | – | Limbic (Type A, Stage 3) | – | – |
3 | No | 1250 | F | Mild | – | IV | 4 | A3B2C3 (intermediate) | Severe | Limbic (Type A, Stage 3) | Mild hyaline arteriosclerosis | – |
4 | No | 1150 | F | Severe | – | V | 5 | A3B3C3 (high) | Moderate | Diffuse (Type A, Stage 6) | – | LBDa |
5 | Yes | 1120 | F | Mild | Yes | IV | 3 | A2B2C2 (intermediate) | Moderate | Diffuse (Type A, Stage 6) | – | – |
6 | Yes | 1500 | F | Mild | – | IV | 5 | A3B2C2 (intermediate) | Moderate | Diffuse (Type A, Stage 6) | Small focal ischaemic infarct in cingulate white matter, mild SVD in striatum | – |
– absent, ABC score ABC score for AD neuropathologic change (level) [34]—‘intermediate’ and ‘high’ are considered sufficient explanation for dementia, AD Alzheimer’s disease, Braak NFT stage Braak and Braak Neurofibrillary Tangle Stage (I–VI) [6], CSP cavum septi pellucidi, CAA cerebral amyloid angiopathy, CBD corticobasal degeneration, CTE chronic traumatic encephalopathy, CTE criteria preliminary NINDS criteria for the pathological diagnosis of CTE [30], F fenestration of septum, LBD Lewy body disease, SVD: Small vessel disease, TDP-43 Transactive response DNA-binding protein, 43 kDa pathology in hippocampus: diffuse or limbic, recommended by the classification system of Mackenzie et al. for FDLD-TDP [27] and the staging scheme proposed by Josephs et al. for TDP-43 in AD [18], Thal Phase [41] thal Beta-amyloid Phase
a LBD Braak stage 6 [7] and McKeith criteria for ‘diffuse neocortical’ category [33]