Monday, January 22, 2018

A young life gone

Coaches at Harrisonville High still have the tape of Michael Keck's first football game. The freshman starter — powerfully built and preternaturally talented for someone so young — barrels toward an opposing player, tackling him so hard that pieces of his helmet fly off. The play is set to a song that goes, "Here comes the BOOM," and the tape is worn from watching and rewatching. It is a relic of a hometown hero, the handsome young star who willed himself out of a troubled upbringing and into a starting spot on the University of Missouri football team.

But it's also a portent of the hundreds, thousands, of tackles that would come. Here would come the BOOM, again and again. All through four years of high school and two more of college, not to mention the decade he spent on youth teams, back when a regulation football still dwarfed his child's hands.

All told he spent 16 years on the gridiron; 16 years of BOOM.

When Keck died two years ago, at 25, those 16 years had left his brain brittle and deformed, pockmarked with the clumps of protein characteristic of chronic traumatic encephalopathy (CTE). The disease, researchers reported this week, was the worst they'd seen in someone so young.

"It was quite widespread," Dr. Ann McKee, co-author on a study of Keck's brain in the journal JAMA Neurology, told NBC News. (The study does not name Keck, but he has been identified in news outlets.)

"I have to say, I was blown away," McKee told the Kansas City Star in November, before the study was published. "This case still stands out to me personally. It's a reason we do this work. A young man, in the prime of his life, newly married, had everything to look forward to. Yet, this disease is destroying his brain."

CTE can only be diagnosed after death, so it is rare when scientists are able to study its effects in someone as young as Keck. He is the youngest person to be definitively diagnosed with the disease, and McKee said its presence offers insight into how concussions affect young athletes, even ones who never play professionally.

Hospital-bound with an unrelated heart infection two years ago, just before he died of cardiac arrest, Keck made his wife pledge to donate his brain to McKee's CTE lab at Boston University. The degenerative disease, which is often associated with football but has also been found in people who suffered an accident or played other contact sports, is the product of repeated brain trauma and successive concussions. And even though it wasn't diagnosed, Keck and his wife were certain that he had it.

"It's what he wanted to prove to everybody," Cassandra Keck told the Associated Press when her husband's illness was diagnosed last year. "He was really suffering, and nobody believed him."

Keck was resilient, a survivor. Both his parents were addicted to drugs, according to the Kansas City Star,. Ultimately, a grandmother, Charlotte Keck, took full custody of Michael. He grew up big-hearted and without resentment; once, when he heard his mother had been arrested, he told Charlotte Keck, "I hope she gets the help she needs."

He also grew up tough. Keck began playing tackle football at age 6, and before long he was an expert at playing through pain.

"He told me that when he was 8 he would be sitting on the bench holding his head and the coach would be rubbing it because it hurt so bad," Cassandra Keck told NBC News.

He was taught, "if you're hurt, you just get out there and play — don't be a wuss," she added.

So he did. He went out and played.

By high school, many thought the tall, broad blond could make a career out of football. Everyone in Harrisonville, Mo., expected Keck to go to a big-name college.

But the young man shied away from the limelight, friends told the Star. Though he was offered scholarships at Alabama, Michigan and USC, he opted for Missouri.

During his freshman year, according to Reuters, Keck suffered a blow to the head that left him unconscious. It was not his first such injury — he'd had his first concussion when he was only 8 and had more than 10 in all, according to the Los Angeles Times — but it was the worst. Keck developed painful headaches, neck pain and blurry vision. He was driven to distraction by a constant ringing in his ears. His sleep suffered, his mood darkened. He became anxious and irritable, then violent.

Keck switched to Missouri State after his sophomore year, but wound up playing just one game for the school. Early on the season, he took a massive hit to the side of his head, according to the Star. It was the worst collision he'd endured, and it ended his career.

His wife Cassandra was pregnant and his mind was already beginning to fray. Keck walked into coach Terry Allen's office and told him he'd had enough. He needed to stay healthy for his kid.

"We both had tears in my office," Allen told the Star. "He was a great kid. Loved to play. I loved that kid. That's a hard deal."

But Keck's condition continued to deteriorate.

"When he stopped playing, he became the bad seed," Cassandra Keck told the Associated Press in 2014. "The next few years, people stopped coming around. People didn't want to be around him anymore."

Meanwhile, he underwent a series of neurological tests that showed he suffered from memory and recall problems, and speech and language impairment. His vision fuzzed and blurred. Words scrambled themselves in his head.

Keck recognized less and less of the world around him.

Around the same time, former NFL All-Pro linebacker Junior Seau committed suicide. An autopsy would later reveal that Seau had CTE.

Cassandra Keck said she immediately recognized Seau's story. It "really opened my eyes," she told the Associated Press, "because that's what Michael was going through."

Keck died from an unrelated heart condition in 2013. His son, Justin, was 3 years old.

An autopsy of Keck's brain revealed a diagnosis of CTE. The case study published Monday details the pathology of his illness and discusses its ramifications for young athletes. Keck's primary diagnosis is post-concussive syndrome, with secondary diagnoses of depression and CTE.

Researchers at Boston University found that Keck's CTE was as severe as what had been found in the brain of 43-year-old Seau.

McKee told NBC News that the damage to Keck's brain was likely so severe because he took up football at such a young age.

"He started playing when he was quite young," she said. "So he had 16 years of football behind him. That's a lengthy exposure. Brain injury is cumulative."

Contributing: Los Angeles Times


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