Car vs. Semi-Truck Client Story Concussion / Brain Injury ~7 min read

Concussion From a Texas Car Accident: Maudie’s Story and What Claims Can Be Worth

If a crash left you with a concussion or other brain injury, you want clear answers: what to do now, how long symptoms can last, what treatment costs, how settlement ranges work in Texas, and who may be responsible. This page explains each of those, using Maudie’s semi-truck crash and concussion as a real example.

Her story, in her own words Watch ▶

How a merging semi-truck left Maudie with a concussion

Maudie was driving home from a doctor’s appointment when a semi-truck to her left moved into her lane. She tried to let the truck pass and move safely, but the truck continued into her lane and struck her car.

He ended up crashing into me and slamming me into a curb. I projected out into oncoming traffic and spun out of control.

Maudie left the scene without obvious visible injuries, but over the following days and weeks she developed classic concussion symptoms: getting lost while driving even when using GPS, difficulty concentrating, and light sensitivity.

“I did sustain a pretty lengthy concussion. I would get lost when I was driving, even using GPS. I had a hard time concentrating. I was sensitive to light.”

Verified client · Car struck by a semi-truck

This review reflects one client’s individual experience. Past results do not guarantee a similar outcome.

A crash with enough force to push a car into oncoming traffic can injure the brain even when CT scans and MRIs are normal. The fact that a semi-truck was involved also changes how much insurance coverage may be available.

First steps to protect a concussion claim after a Texas crash

After any crash where you experience headache, dizziness, confusion, memory problems, sensitivity to light or noise, trouble concentrating, or balance issues:

  1. See a doctor promptly Concussion symptoms can appear or worsen over hours or days. A normal CT or MRI does not rule out a concussion.
  2. Tell your doctor all symptoms Explain confusion, sensitivity to light or noise, memory issues, irritability, sleep changes, and getting lost while driving.
  3. Follow up with specialists Neurology and neuropsychological testing often play a key role in diagnosis and documentation.
  4. Avoid recorded statements An adjuster for the at-fault insurer can use “I feel fine” against you later.
  5. Do not accept an early number Claims should be valued after doctors understand the course of the injury, including any post-concussion syndrome.

J. Alexander Law Firm followed these steps with Maudie’s case: immediate medical evaluation, thorough documentation of symptoms, specialist care, and controlled communication with the trucking insurer.

What a concussion is, and why CT and MRI scans miss it

A concussion is a mild traumatic brain injury (mild TBI). It occurs when a blow or jolt to the head or body causes the brain to move within the skull and disrupts normal brain function.

  • A concussion is a brain injury, even when providers describe it as “mild.”
  • You do not need to black out or strike your head to have a concussion.
  • Standard CT and MRI scans are designed to detect bleeding and structural damage, not the functional changes caused by a concussion. Many concussions occur with normal imaging.
  • Diagnosis relies on symptoms, examination, and, in appropriate cases, neuropsychological testing.

Mild TBI, concussion, and post-concussion syndrome refer to the same injury at different stages. The longer symptoms persist, the more serious the injury and the claim may be.

Is a concussion a traumatic brain injury?
Yes. A concussion is the mild end of the traumatic brain injury scale. “Mild” describes how it looks on a scan, not how it feels or how long it lasts; a mild TBI can still cause months of memory, focus, and balance problems, which is why the label undersells both the injury and the claim.
Can you have a concussion with a normal CT scan?
Yes, and most people do. A CT or MRI looks for bleeding and fractures, not the cell-level disruption a concussion causes, so a normal scan does not rule one out. The diagnosis comes from symptoms and neuropsychological testing, and that testing is the evidence that carries a concussion claim.

How long concussion symptoms last, and why Maudie’s ran for months

Most people recover from a concussion in days to a few weeks. Some develop post-concussion syndrome, where symptoms continue for months or longer.

Maudie’s symptoms lasted for months and required multiple rounds of physical therapy.

“It took me about two rounds of physical therapy for me to find any relief.”

Verified client · Car struck by a semi-truck

This review reflects one client’s individual experience. Past results do not guarantee a similar outcome.

Persistent symptoms can justify additional medical care and may delay settlement until providers understand whether the injury has lasting effects. Ongoing issues with memory, concentration, mood, sleep, and balance can significantly affect work and daily life.

How long does post-concussion syndrome last?
Weeks for most people, months or longer for some. When concussion symptoms like headaches, brain fog, and light sensitivity persist past the usual recovery window, doctors call it post-concussion syndrome. The longer it lasts, the more it points to a lasting injury, and the more a settlement has to account for.
Can a concussion cause permanent damage?
Sometimes, yes. Many people recover fully, but some are left with lasting problems in memory, concentration, mood, or balance. Whether the effects are permanent is one of the biggest factors in value, which is why a claim should not settle until doctors know how much of the injury is here to stay. Lasting symptoms also mean more missed work and a longer wait to settle.

What concussion care costs, and who should pay for it

Concussion care often involves multiple visits and services. Reported billed-cost ranges from national sources and provider data include:

Reported cost of concussion care Billed cost of care · national estimates · varies by region · not a quote
ServiceReported cost
Emergency-room evaluation$1,500 to $3,000
CT scan or brain MRI$500 to $5,000
Neurology consultation$150 to $500
Neuropsychological testing$2,000 to $5,000+
Vestibular or physical therapy (per session)$70 to $250
Cognitive rehabilitation (per session)$100 to $1,000

These ranges vary by region and provider and are not quotes. A normal scan still generates a bill and shows that a brain injury work-up occurred. Neuropsychological testing can provide objective data on memory, attention, and processing speed, which often makes a concussion claim stronger.

Does neuropsychological testing increase a Texas concussion settlement?
Usually, yes. Testing turns “she says she cannot concentrate” into measured data on memory, attention, and processing speed, exactly the objective proof adjusters demand when imaging is normal. A concussion claim backed by neuropsychological testing, and by the physical therapy and specialist visits that show a real treatment course, is generally valued well above one built on symptoms alone.

What a concussion or mild TBI settlement is worth in Texas

There is no single “average” number; settlement ranges depend on severity, duration of symptoms, impact on work and life, fault, and available insurance. Industry sources and Texas-specific discussions report ranges roughly consistent with:

Reported concussion and mild TBI settlement ranges Reported ranges from industry sources · illustrative · not a prediction of your result
Injury pathCommonly reported range
Minor concussion, full recovery in weeks$15,000 to $75,000
Post-concussion syndrome, symptoms past three months$75,000 to $150,000+ (sometimes to $250,000)
Mild TBI with ongoing cognitive issues$150,000 to $500,000+
Moderate to severe TBI, or commercial-truck casesSix to seven figures

These ranges are illustrative, not promises. A mild brain injury settlement is commonly reported from $15,000 to $300,000, and a post-concussion syndrome settlement value, when symptoms pass three months, from $75,000 to $150,000 or more, whether the crash is called a car accident or an auto accident. A mild concussion may settle for tens of thousands of dollars. A documented mild TBI with long-term effects can reach six figures. More severe, permanent injuries can reach hundreds of thousands or millions when they significantly affect a person’s earning capacity, independence, and quality of life.

A concussion claim is valued based on several types of damages. Economic damages are documented financial losses, such as medical bills, lost income, and any reduced ability to earn money in the future. Non-economic damages cover losses without a receipt, including headaches, difficulty concentrating, pain, and limits on everyday activities.

Evidence matters. Neuropsychological testing can help document the extent of a brain injury and may support a higher settlement value. At the same time, the available insurance policy limits can restrict the amount you can recover, and any percentage of fault assigned to you may reduce your compensation.

Many crashes that cause concussions also result in whiplash or other neck injuries. When that happens, those injuries are included in the same personal injury claim and can increase its overall value. Learn more in our guide to whiplash injury settlements.

Doctors grade the injury, often using tools like the Glasgow Coma Scale and loss-of-consciousness history, before anyone values the claim. The severity grade and length of symptoms influence settlement ranges.

How doctors grade a brain injury, and where value sits By Glasgow Coma Scale and loss of consciousness · illustrative tiers
SeverityMedical markerReported tier
Mild (concussion / mTBI)GCS 13 to 15, no loss of consciousness or under 30 minutes$15,000 to $300,000
ModerateGCS 9 to 12, unconsciousness or amnesia lasting hours to a day$150,000 to $1,000,000
SevereGCS 8 or below, prolonged unconsciousness or amnesia$1,000,000 and up
How much is a concussion worth in a Texas car accident settlement?
Not one number, and not before you know how long your symptoms last. The reported ranges above run from about $15,000 for a concussion that clears quickly into six figures and beyond when symptoms persist or a brain injury proves lasting. Where you land depends on your documentation, your neuropsychological testing, your fault share, and the policies available. What car insurance ultimately pays follows those same ranges, up to the coverage limits available.
How much compensation for a mild traumatic brain injury in Texas?
Reported ranges run from roughly $15,000 for a fast recovery to $300,000 or more when symptoms last, because “mild” describes the scan, not the disruption to your life. The single biggest lever is proof: contemporaneous symptom records and neuropsychological testing move a mild TBI from a disputed complaint to a documented injury.
How long will you be out of work with a concussion?
It varies with the person and the job. Many people miss days to a few weeks; a concussion with lingering symptoms can mean months, and work that demands focus or screens can be harder to return to than physical labor. Those missed weeks are lost income, and the time you cannot work is a documented part of your claim.
How long does a concussion settlement take in Texas?
For a concussion that clears, often six to eighteen months; for a lasting brain injury, longer. The clock is medical, not legal: a claim is valued once you reach maximum medical improvement, the point where doctors know whether the symptoms are permanent, so settling before that undersells a claim that is still unfolding.

Who pays after a Texas truck-crash concussion

Concussion and brain injury claims typically seek compensation from:

  • The at-fault driver’s liability insurance.
  • The trucking company’s commercial liability insurance, for crashes involving vehicles used in commerce.
  • A vehicle or parts manufacturer, in appropriate defect cases.
  • A government entity, when a dangerous road condition or missing signage contributes, subject to special notice rules.
  • A bar or alcohol provider, in qualifying Texas dram-shop cases.
  • Your own uninsured or underinsured motorist (UM/UIM) coverage and personal injury protection (PIP), when available.

For interstate motor carriers, federal rules set minimum financial-responsibility levels. Many for-hire carriers of property must carry at least $750,000 in liability coverage, with higher minimums for certain hazardous cargo. A typical Texas personal auto policy has much lower per-person limits, such as $30,000. The same injury can have very different settlement ceilings depending on the available insurance.

Texas uses a modified comparative-fault rule. If you are 51 percent or more at fault, you generally cannot recover damages. If you are 50 percent or less at fault, your recovery may be reduced in proportion to your responsibility.

How our Dallas team handled Maudie’s concussion claim

J. Alexander Law Firm managed communication with the trucking insurer, gathered Maudie’s medical records, documented her symptoms over time, and evaluated the insurance policies available.

“Dealing with the staff was really great. Josh is always professional and he’s always taking care of me. Anytime that I thought I needed to reach out, she was already reaching out to me.”

Verified client · Car struck by a semi-truck

This review reflects one client’s individual experience. Past results do not guarantee a similar outcome.

The firm’s goal was for Maudie to focus on treatment while attorneys and staff handled the insurance, medical documentation, and claim strategy.

How Texas insurers fight concussion claims, and how records beat them

Many concussions occur with normal imaging, and insurers use that to argue:

  • A normal CT or MRI means “no brain injury.”
  • A person who walked and talked at the scene must be unharmed.
  • Persistent symptoms are “subjective” or “exaggerated.”

Medical research and guidance recognize that mild TBIs and concussions can cause real, sometimes lasting problems even with normal scans. Objective testing, consistent symptom documentation, and corroborating accounts from family members or coworkers can move a concussion from a disputed complaint to a documented injury.

Laura Rivas, Senior Associate Attorney at J. Alexander Law Firm

Laura Rivas

Senior Associate Attorney · J. Alexander Law

From the attorney’s desk · reviewed for this story

Texas law’s “eggshell skull” principle requires at-fault drivers to take injured people as they find them, including those more susceptible to injury. That rule undercuts “she shouldn’t be hurt by this crash” arguments.

Do insurance companies take concussions seriously?
Only when the record forces them to. A concussion rarely shows on a scan, so adjusters lean on “she looked fine” and treat the symptoms as exaggerated. What changes their math is objective proof: neuropsychological testing, consistent treatment records, and accounts from the people who saw the day-to-day struggle.
What should you not tell your insurance company after a concussion?
Do not give a recorded statement, and do not say you are “fine.” With a concussion, an offhand “I’m okay” gets replayed as proof you were not hurt, and guessing at symptoms you do not yet understand can box in your claim. Report your symptoms to your doctors, not the adjuster, and let the records speak.
Do Texas insurers settle concussion claims quickly?
Often, yes, and that is the warning sign. A fast, early offer usually arrives before your concussion is fully documented, while the insurer can still argue you were barely hurt. A fair number waits until your symptoms, and how long they lasted, are on the record, which is why an early lowball works against you.

How long a Texas concussion claim takes, and what you keep

How long a concussion claim takes to settle

A concussion claim is typically valued after you reach maximum medical improvement, when providers better understand whether symptoms are temporary or lasting. Many concussion claims resolve in roughly 6 to 18 months; lasting brain injuries often require more time.

Time away from work with a concussion

Time away from work depends on the job, severity of symptoms, and doctor recommendations. Some people miss days to a few weeks; others miss months if cognitive demands or screen use are central to their work. Lost wages and reduced earning capacity are part of the claim, not extras.

What you keep after fees and liens

Settlement proceeds usually go to the attorney’s contingency fee (often a percentage of recovery), case expenses and medical liens (amounts owed to providers and insurers), and the client’s net share. For illustration only, not a quote: on $50,000, a person might net $25,000 to $30,000 after a one-third fee and negotiated liens; on $25,000, $12,000 to $15,000; on $20,000, $10,000 to $12,000. Actual numbers depend on your fee agreement and medical bills.

The Dallas firm behind Maudie’s case

Josh Alexander has been named to the Texas Super Lawyers Rising Stars list each year from 2022 through 2026 and is a lifetime member of the Multi-Million Dollar Advocates Forum. J. Alexander Law Firm reports a strong client-review history at its Dallas office and has secured substantial recoveries in Dallas car accident cases, including settlements in the hundreds of thousands of dollars.

Examples shown on firm materials are anonymized. Every case depends on its own facts, evidence, and available insurance. Past results do not guarantee a similar outcome. You do not pay an upfront fee. The firm’s fee is contingent on recovering money for you.

24/7 availability · Free consultation · No fee unless the firm recovers money for you

Talk to a Texas concussion injury lawyer today.

Call 469-807-7480 or contact us online. Se habla español.