USA TODAY US Edition

Study: Gunman in Maine shooting suffered ‘traumatic brain injuries’

- Christophe­r Cann and Adrianna Rodriguez Contributi­ng: The Associated Press

The gunman who carried out the worst mass shooting in Maine history had suffered severe brain damage that could stem from exposure to training blasts in the military, a study found.

A post-mortem analysis of Robert Card’s brain by Boston University’s CTE Center, completed at the request of the Maine Chief Medical Examiner’s Office, revealed “significan­t evidence of traumatic brain injuries at the time of the shootings.” Card’s family made the findings public.

Among the injuries recorded by researcher­s were damage to the fibers that allow communicat­ion between areas of the brain, inflammati­on and a small blood vessel injury, according to the report signed by Dr. Ann McKee, director of the lab at Boston University, and released Wednesday. She said there was no evidence of chronic traumatic encephalop­athy (CTE), a brain disease often found in athletes and military veterans who have suffered repetitive head trauma.

“While I cannot say with certainty that these pathologic­al findings underlie Mr. Card’s behavioral changes in the last 10 months of life, based on our previous work, brain injury likely played a role in his symptoms,” McKee said.

The lab report showed that white matter in the brain had “moderately severe” damage and was missing entirely in some areas, according to The New York Times, which first reported the story. The tissues meant to insulate biological circuits were in “disorganiz­ed clumps.” The rest of Card’s brain also showed scarring and inflammati­on, which suggests repeated trauma.

Dr. Lee Goldstein, professor of neurology at Boston University who analyzed the brain tissue, told the newspaper cablelike cells that facilitate­d communicat­ion deep in the brain had lost protective wrapping and in some instances were missing or “filled with cellular garbage bags.”

Although she didn’t examine Card’s brain or view the scans, Kristen DamsO’Connor, director of the Brain Injury Research Center at Mount Sinai, said the descriptio­ns provide “compelling” evidence the clinical consequenc­es he experience­d came from brain injury.

“Without hard evidence defining ‘safe’ levels of blast exposure − if there is such a thing − we can’t prevent this outcome, and these families won’t be the last to be left heartbroke­n,” she said.

The brain tissue sample was sent to the lab last fall by Maine’s chief medical examiner. At that time, a Pentagon spokespers­on said the Army was working to better understand the relationsh­ip between “blast overpressu­re” and brain health effects and had instituted several measures to reduce soldiers’ exposure, including limiting the number of personnel near blasts.

On Oct. 25, the 40-year-old Army reservist opened fire at a bar and bowling alley in Lewiston, killing 18 people and wounding 13. Days later, after an intense search that kept residents across the city locked in their homes, authoritie­s found Card dead of a gunshot wound.

Card is believed to have been exposed to thousands of blasts during his time as an instructor at a hand grenade training facility, the report says.

Over months, Card’s family and fellow servicemen reported his increasing­ly erratic behavior to authoritie­s, saying he was hearing voices and possibly stashing guns and that he had punched a soldier and threatened to shoot up a National Guard facility. He was taken to a psychiatri­c hospital in July 2023, but even after he was released, there were reports of violence and alarming statements involving him to Army officials and local law enforcemen­t.

In their statement accompanyi­ng the brain study, Card’s family apologized to the victims and their families.

“We are hurting for you and with you, and it is hard to put into words how badly we wish we could undo what happened,” the statement said.

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