New research has found that
repeated concussions can thicken the structure of skull bones. Previous studies
have shown damage to the brain following concussion, but have not looked at the
brain’s protective covering.
A Monash-led study published in the
journal Scientific
Reports, by Associate Professor Bridgette Semple from the Monash University’s Central Clinical School Department of Neuroscience, found that repeated concussions resulted in thicker,
denser bones in the skull.
It is unclear whether this thickening of
the skull is a good thing or a bad thing. In theory, a thicker skull is a
stronger skull, suggesting that this may be the bone’s attempt to protect the
brain from subsequent impacts.
“This is a bit of a conundrum,”
Associate Professor Semple said. “As we know, repeated concussions can have
negative consequences for brain structure and function. Regardless, concussion
is never a good thing.”
The team hopes that the microstructural
skull alterations caused by concussion are now considered by researchers in the
field to better understand how concussions affect the whole body.
Concussion is a form of mild traumatic
brain injury, and repeated concussions have been linked to long-term
neurological consequences.
Most studies focus on understanding how
these head injuries affect the brain and its function – but they largely ignore
the overlying skull bones that protect the brain.
Although bones are considered a mostly
structural component of the human body, bones are in fact active living tissues
that can respond to applied mechanical forces.
Study collaborator Professor Melinda
Fitzgerald, from Curtin University and the Perron Institute in Western
Australia, has previously shown that repeated concussive impacts lead to subtle
problems with memory, and evidence of brain damage.
In this new study, high-resolution
neuroimaging and tissue staining techniques were used in a pre-clinical model,
and revealed an increase in bone thickness and density, in close proximity to
the site of injury.
“We have been ignoring the potential
influence of the skull in how concussive impacts can affect the brain,”
Associate Professor Semple said. “These new findings highlight that the skull
may be an important factor that affects the consequences of repeated
concussions for individuals.”
Future studies are planned, with collaborator and bone expert Professor Natalie Sims from St Vincent’s Institute of Medical Research in Melbourne, to understand if a thickened skull resulting from repeated concussions alters the transmission of impact force through the skull and into the vulnerable brain tissue underneath.
Journal article: https://www.nature.com/articles/s41598-022-18643-5
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