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I'm not saying that there are no pre-existing conditions. But subsequent things like head injuries can also have an impact. I took a Mental Health Law class in law school, there are many cases where there may have been some concerns at an earlier time, and then it gets MUCH worse at a later...

Head injuries can potentially explain a lot of horrible left turns in life. Aaron Hernandez, Kellen Winslow II, Mark Walton. We may never know.