We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

Creating a Concussion Crisis and Chronic Traumatic Encephalopathy

Jim Andrikopoulos, PhD, ABPP1
[+] Author Affiliations
1Mercy Hospital Medical Center, Ruan Neurology Clinic, Des Moines, Iowa
JAMA Neurol. 2014;71(5):654. doi:10.1001/jamaneurol.2013.6408.
Text Size: A A A
Published online


To the Editor I read with skeptical interest Dr Cantu’s article on sports concussion.1 Unlike other neurology specialties, sports concussion is driven not by science but opinion in the form of the numerous consensus conferences he referenced. The mainstay of concussion treatment has been complete physical and cognitive rest based on previous conference recommendations. For the most recent international conference, a literature review was decided, which found sparse empirical evidence for this dogma.2 Stories abound from neuropsychology colleagues of student athletes who have been granted a vacation from life for weeks on end, with no scholastic work, video games, text messaging, or similar activities that might theoretically delay recovery. In a lecture at Williams College in September 2011, Dr Cantu and his colleague, Christopher Nowinski (an ex-professional wrestler), from the Center for the Study of Traumatic Encephalopathy gave the disturbing advice that ignoring rest can lead to suicide.3 In a number of high-profile cases, families have been led to believe the cause of the suicide was a single concussion or chronic traumatic encephalopathy (CTE).


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





May 1, 2014
Nitin K. Sethi, MD
1Weill Cornell Medical Center, New York–Presbyterian Hospital, New York, New York
JAMA Neurol. 2014;71(5):654-655. doi:10.1001/jamaneurol.2013.6411.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...