Can Brain Injury from a Car Accident Affect Intelligence Long-Term? - Neurosurgery

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Cognitive decline after a car accident?


Hello Dr.
Chang: I have a friend who was in a car accident over ten years ago.
Although her physical injuries have healed, her IQ has decreased to that of an elementary school student.
It has been more than ten years now.
Is there still a possibility for my friend to recover? Thank you.

Peggy, 40~49 year old female. Ask Date: 2015/09/06

Dr. Zhang Junwei reply Neurosurgery


The likelihood of recovery from an incident that occurred over a decade ago is likely very low!

Reply Date: 2015/09/06

More Info


Brain injuries, particularly those resulting from car accidents, can have significant long-term effects on cognitive functions, including intelligence. The severity and type of brain injury, the age of the individual at the time of injury, and the nature of the recovery process all play crucial roles in determining the long-term outcomes.

In the case of your friend who experienced a brain injury over a decade ago, it is important to understand that the brain has a remarkable ability to adapt and recover, but this ability diminishes over time. If your friend sustained a traumatic brain injury (TBI) that resulted in a significant decline in cognitive function, it is possible that the changes could be permanent, especially if the injury was severe. Research indicates that individuals who suffer from moderate to severe TBIs may experience lasting impairments in cognitive abilities, including memory, attention, and executive functions, which can affect overall intelligence.

However, it is also essential to consider the concept of neuroplasticity, which is the brain's ability to reorganize itself by forming new neural connections. This means that even after a significant period post-injury, there may still be opportunities for improvement, particularly with appropriate rehabilitation and cognitive therapies. Engaging in cognitive exercises, occupational therapy, and other forms of rehabilitation can sometimes lead to improvements in cognitive function, even years after the initial injury.

In your friend's case, if she has not undergone any form of cognitive rehabilitation or therapy since the accident, it may be beneficial for her to explore these options. A comprehensive evaluation by a neurologist or a neuropsychologist could provide insights into her current cognitive abilities and potential avenues for recovery. They can assess her cognitive functions through standardized tests and recommend tailored interventions that could help her regain some cognitive skills.

Moreover, it is crucial to acknowledge that the emotional and psychological aspects of living with a cognitive impairment can also significantly impact an individual's quality of life. Support from mental health professionals, support groups, and family can play a vital role in helping your friend cope with her situation and potentially improve her overall well-being.

In summary, while the likelihood of significant recovery diminishes over time after a brain injury, there are still possibilities for improvement through rehabilitation and therapy. It is essential for your friend to seek professional guidance to explore her options and to understand that recovery can be a gradual process. The brain's capacity for change should not be underestimated, and with the right support, individuals can often achieve better outcomes than initially expected.

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