Can frequent concussions cause memory decline?

Can frequent concussions cause memory decline? Yes, research shows that repeated concussions often lead to memory problems and other cognitive issues, especially after three or more hits to the head.

A concussion is a mild brain injury from a blow to the head or body that shakes the brain inside the skull. One concussion can cause short-term memory loss, like forgetting what happened right before or after the hit. But when concussions happen often, such as in sports like football, the risks grow. Studies on athletes find that players with three or more concussions show clear drops in memory and attention skills. For example, professional women footballers with three concussions had lower scores on simple attention tests, which tie into memory tasks. Another study noted a threefold jump in odds for attention and memory deficits after multiple concussions.

Even hits that do not cause a full concussion, called sub-concussive events, can harm memory over time. Repetitive blows build up and slow brain recovery. In youth athletes, three or more concussions led to worse symptom scores, though not always direct memory tests. Post-concussion syndrome affects 10 to 30 percent of people after a concussion, with memory trouble as a top complaint. This includes trouble recalling events, focusing, or thinking clearly, lasting weeks or years if untreated.

Brain scans and tests reveal why. After repeated concussions, blood flow to the brain gets out of whack, starving areas needed for memory of oxygen. In older adults, past concussions speed up natural memory decline and raise dementia risk by about 50 percent. Genetic factors like the APOE ε4 gene make some people more prone to lasting memory harm from mild brain injuries.

Long-term, frequent concussions link to chronic traumatic encephalopathy, or CTE, seen in ex-football players. CTE brings steady memory loss, confusion, and mood changes. Symptoms can linger or worsen without treatment, but therapies targeting brain blood flow help many recover 60 percent or more in symptoms.

Sources
https://pmc.ncbi.nlm.nih.gov/articles/PMC12736892/
https://www.nationalacademies.org/read/18377/chapter/6
https://www.cognitivefxusa.com/blog/post-concussion-syndrome-and-post-concussion-symptoms-pcs
https://www.concussionalliance.org/persisting-symptoms-after-concussion
https://pmc.ncbi.nlm.nih.gov/articles/PMC11647579/
https://www.alzheimersresearchuk.org/about-us/our-influence/policy-work/position-statements/sport-and-dementia/
https://woottoncommonsense.com/25557/sports/footballs-unseen-effect-the-brain/
https://carolinasportsclinic.com/blog/most-common-causes-of-persistent-concussion-symptoms/