### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hello, I was wondering about Dementia Pugilistica. I am wondering about my nephew. He is 17 now and has had alot of concussions from hard blows to his head in football. The last 2yrs hes been acting stranger and stranger. Then he had a truck accident and hit his head again. Is demenor got even worst with memory problems, blackouts with major aggression. He wouldn t listen and played football anyway and started drinking acohol for the heaches. Now he s in trouble big and he doesn t remember if he done what there accusing him of..At first I thought he was lying now I think he really does have issue of the brain. What are the symptoms and how do I find a doctor to check him and help him if he does..Live in Arkansas.. Thanks --Confused Sorry didn t know you had to pay I haven t work in 6 yrs do to muscle spasms in my body that no one can figure out the cause b/c test keep comming back normal.. They still hurt though.. Thank You for your time anyway. Sorry...

### output:

Hello Thanks for askingDementia Pugilistic also called as chronic traumatic encephalopathy is a type of dementia that occur in boxers after repeated trauma on head. The main clinical features are declining memory and features of Parkinson's disease like tremors and a number of other symptoms. He is having forgetfulness but no other symptoms are there that can label him with dementia pugilistic. Multiple trauma to head and then one serious accident are most likely the reason for his personality change. He is acting stranger, have problems of aggression, don't listen anyone and has started taking alcohol. He is not remembering the episode of aggression. Such symptoms may occur some time following head trauma because of injury to frontal and temporal lobe of brain. Injury to brain may cause personality changes and may aggravate anti-social behavior. Loss of short term memory might be due to trauma only. I would advise you to consult a good Psychiatrist for his treatment. To decrease his aggression and post-traumatic complications medicines like Mood Stabilizers like Sodium Valproate, Carbamazepine etc. can be used. Hope this helps you, thanks