Long-term effects of traumatic brain injuries

A traumatic brain injury (TBI) is damage to the brain resulting from a sudden injury – whether it’s a jolt, bump, or blow to the head. It’s also known as a “closed-head injury,” although a traumatic brain injury can still result when an object penetrates the skull, (also known as a “penetrating injury”).

woman with a head injury in bed

What can cause a traumatic brain injury?

Causes of traumatic brain can include:

Motor vehicle crashes

Car, motorcycle, bicycle, and pedestrian accidents are among the leading causes of TBIs. A sudden impact or jolt to the head during a collision can cause the brain to move violently within the skull, leading to concussions, contusions, or more severe injuries. These injuries can occur regardless of whether the individual directly strikes their head on a surface or experiences rapid acceleration and deceleration forces (e.g., whiplash).

Falls

Falls are a significant cause of TBIs, particularly among two vulnerable groups: children and older adults. Falls from ladders, stairs, uneven surfaces, or slippery floors can lead to head injuries. In elderly individuals, conditions like osteoporosis or impaired balance increase the risk of serious falls, while young children may sustain TBIs from playground accidents or falling off furniture.

Assaults

Physical violence, such as blows to the head, gunshot wounds, or shaken baby syndrome, can result in TBIs. These injuries are often caused by direct trauma or penetrating injuries, leading to damage to brain tissue. Assault-related TBIs can vary in severity depending on the force and nature of the attack.

What happens after you’ve had a brain injury?

After a sudden injury to the brain, the brain typically works immediately to repair any internal damage or injury to brain tissue. In fact, one-third of brain injury patients recover with only short-lived symptoms. Within the first six months, they typically return to almost normal pre-injury brain and body function.

However, the remaining two-thirds of brain injury patients do not recover as quickly. Sometimes, they do not ever recover fully. For those patients, there is long-term or lifetime damage to the brain that can last for years after the injury occurred. Secondary complications can last just as long. And in some cases, traumatic brain injury effects are not onset at the time of the injury but arise later. Each year, 80,000-90,000 people experience the onset of long-term or lifelong disabilities associated with a TBI.

Asian woman with a headache

There are several types of long term effects of a traumatic brain injury including physical, emotional, and/or social problems. The issues can last for a few days or up to the rest of their lives, depending on how severe of an injury they sustained. For those patients suffering long-term disabilities associated with TBI, they may require ongoing care to help with their recovery.

For patients who have sustained a moderate or severe TBI, the social, emotional, financial, and physical consequences sometimes lead to long-term or life-long health problems, and ongoing medical care. The issue is frequently described as being similar to the effects of a chronic disease.

In addition, the lifetime economic cost of all traumatic brain injuries, including direct and indirect medical costs, was estimated to be approximately $76.5 billion (in 2010 dollars).

What are some of the long-term physical effects of traumatic brain injuries?

Common long-term physical effects of a TBI include, but are not limited to:

  • Blurred vision/visual difficulties
  • Car sickness or motion sickness
  • Change or loss in taste/smell
  • Difficulty reading
  • Memory loss
  • Heartbeat or blood pressure irregularities
  • Sensitivity to light or noise
  • Short term memory problems
  • Difficulty with executive function
  • Tiredness for no reason
  • Headaches/migraines
  • Dizziness
  • Seizures
  • Degenerative brain disease

deoressed man at desk

What are some of the long-term mental health and emotional effects of traumatic brain injuries?

Common long-term mental health and emotional effects of a TBI include, but are not limited to:

Anxiety

Traumatic brain injuries can heighten feelings of fear, worry, or unease, often without a clear cause. This anxiety can manifest as general nervousness, panic attacks, or social anxiety, making it difficult to interact with others or handle daily stressors.

Depression

Many TBI survivors experience persistent sadness, loss of interest in activities, or feelings of hopelessness. Depression can arise from physical brain changes or as a reaction to the challenges of adjusting to a post-injury lifestyle.

Personality (mood) changes/mood swings

TBIs can alter brain regions that regulate emotions, leading to sudden or extreme mood swings. Individuals may become more irritable, overly emotional, or, in some cases, emotionally detached. These changes can strain personal and professional relationships.

Difficulty controlling impulses

Damage to the brain’s frontal lobe may impair self-regulation, causing impulsive decisions, inappropriate behavior, or trouble adhering to social norms. This can lead to issues in relationships and employment.

Sleep disturbance

TBI survivors often face challenges falling asleep, staying asleep, or maintaining a healthy sleep cycle. Insomnia or chronic fatigue can exacerbate other mental health symptoms, including anxiety and depression.

Irritability

Increased sensitivity to minor frustrations or perceived slights is common. This heightened irritability can make day-to-day interactions more challenging and create conflict in personal and professional settings.

Difficulty concentrating

TBIs often impair the brain’s ability to maintain focus on tasks. Individuals may feel easily distracted or struggle to complete activities that require sustained attention, impacting work performance and personal responsibilities.

Difficulty finding things

Memory impairments can lead to challenges in locating objects, recalling recent events, or organizing information. These difficulties may result in frustration and reduced independence.

Loss of focus

Even when attempting to concentrate, individuals with a TBI may find it hard to stay on task. This can make it difficult to complete everyday activities or meet deadlines, leading to feelings of inadequacy or frustration.

Feeling overwhelmed

Post-TBI, the brain often has reduced capacity for handling multiple stimuli or tasks at once. Situations that once felt manageable may now feel daunting, triggering stress or emotional shutdowns.

Getting lost

Spatial disorientation or impaired memory can lead to difficulties navigating familiar routes or understanding directions. This can create anxiety, especially in unfamiliar environments.

Low energy

Chronic fatigue is a common issue after a TBI, resulting from both the physical injury and the mental strain of adapting to cognitive or emotional changes. This low energy can make it challenging to engage in previously enjoyed activities or maintain daily routines.

What are some of the long-term social and relationship consequences of traumatic brain injuries?

Common long-term social and relationship consequences of a TBI include, but are not limited to:

  • Higher likelihood of death
  • Lower rates of employment
  • Reduced participation in activities
  • Overall lower quality of life

doctor explaining a TBI to patientAlso disturbing are the potential long-term effects of a TBI suffered during childhood, when a child’s brain is still in development. If a child receives a TBI of any severity, it may disrupt his or her emotional, intellectual, or social development, or limit his or her participation in sports.

The consequences of TBIs can also impact a child’s health, thinking, and in particular learning and impulse control abilities. It is also important to consider the social impacts of TBIs on children, as stunted social participation can have lifelong effects during a key time in growing and developing into a productive adult.

Any time the brain sustains an injury, there is cause for concern. Fortunately, not all TBIs result in serious or long-lasting damage.

How to best avoid a traumatic brain injury

Be smart and safe – do your best to avoid any injury to the head if possible, by practicing the following preventative measures:

  • Wear your seat belt.
  • Never drive under the influence of drugs or alcohol.
  • Do not text or use a cell phone while driving.
  • Do not text or use a cell phone while walking.
  • Wear a helmet while playing sports.
  • Prevent falls at home by installing handrails, removing tripping hazards, improving lighting in your home, and using non-slip mats where appropriate.
  • Get regular eye exams.

Remember that if you do receive any type of head injury, promptly seek medical treatment if that injury concerns you or causes behavioral changes so that your condition can be evaluated.

If you or a loved one have been impacted by such an injury sustained in a motor vehicle accident, a fall, or other serious incident through no fault of your own, an Allen & Allen traumatic brain injury lawyer may be able to help. Call today at 866-388-1307 for a free consultation with a Virginia traumatic brain injury attorney.