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The man who killed 18 people in a mass shooting last year in Lewiston, Maine, had traumatic brain injuries that likely influenced his actions in the final months of his life, according to new analysis released Wednesday.

Army reservist Robert Card, 40, carried out the shootings at a bowling alley and a bar on Oct. 25, sparking a multistate manhunt that ended when he was found dead days later, having taken his own life with a shotgun.

The Maine chief medical examiner’s office requested the post-mortem study of Card’s brain, which was carried out by Boston University CTE Center and released by Card’s family.

“Robert Card had evidence of traumatic brain injury. In the white matter, the nerve fibers that allow for communication between different areas of the brain, there was significant degeneration, axonal and myelin loss, inflammation, and small blood vessel injury,” lead author Ann McKee said in a statement issued by the family and the Concussion Legacy Foundation.

The family apologized for the attack and said they hoped that publicizing the findings of the scan might help “prevent future tragedies.”

The findings align with previous studies on the effects of blast injuries, McKee said. Card was a firearms instructor and worked at an Army hand grenade training range, where he may have been exposed to thousands of blasts, the statement said.

“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,” she continued.

Card was suffering an acute mental health episode at the time of the shooting, his family said, and had begun to hear voices that led to him forming a paranoid “manic belief” that others were against him. He spent two weeks undergoing psychiatric inpatient treatment.

Further studies on Card’s brain are continuing.

Card’s family said in a statement that they were “deeply sorry and heartbroken…

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