Can head trauma in childhood increase dementia chances later?

Can head trauma in childhood raise the chances of dementia later in life? Yes, research shows that injuries to the head during childhood can increase dementia risk as people get older, though scientists are still figuring out exactly why and how.[1][3]

Head trauma, often called traumatic brain injury or TBI, happens when a strong hit to the head shakes or damages the brain. This can occur from falls, car accidents, sports, or other accidents common in kids. Studies find higher rates of dementia in people who had these injuries early in life, even decades later.[1][3] For example, experts note that brain changes linked to dementia, like buildup of harmful proteins, might start after a head injury.[1]

One key study points out that the roots of dementia could trace back to childhood or even infancy. Risk factors from early life, including head injuries, may shape brain structure and function in ways that lead to problems much later.[3] Brain scans sometimes show damage patterns more tied to young injuries than to habits in old age.[3] Another report highlights that young adulthood, starting around age 18, is a critical time for brain health, but childhood hits can set the stage even earlier.[3]

Not everyone with a childhood head injury gets dementia. Genetics play a role too. Certain genes, like the APOE-epsilon4 version, make recovery from brain injuries harder and link to worse thinking skills over time. This holds for TBIs in kids and adults.[2][5] Scientists say imaging the injury’s size and spot right after it happens could predict who might face long-term brain decline.[1]

Early life stress beyond just hits, like neglect, can also mess with brain networks and heighten fear responses in adulthood, which might add to dementia risks indirectly.[4] Preventing head injuries in children through helmets, safe play, and quick medical care is vital. Research continues to uncover ways to spot and treat at-risk people early.[1][3]

Sources
https://www.alzheimersresearchuk.org/news/what-are-the-long-term-effects-of-a-head-injury/
https://pmc.ncbi.nlm.nih.gov/articles/PMC12755970/
https://www.sciencealert.com/the-roots-of-dementia-trace-back-all-the-way-to-childhood-experts-find
https://medicalxpress.com/news/2025-12-early-childhood-adversity-disrupt-brain.html
https://onlinelibrary.wiley.com/doi/10.1002/brb3.71173?af=R