The impact of a moderate to severe brain injury can include cognitive deficits including difficulties with:
Common Difficulties
- Attention
- Concentrating
- Memory
- Confusion
- Impulsiveness
- Language Processing
- Executive functions, such as planning or initiating appropriate actions
Speech and Language
- Not understanding the spoken word
- Difficulty speaking and being understood
- Slurred speech
- Speaking very fast or very slow
- Problems reading
- Problems writing
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Sensory
- Difficulties with interpretation of touch, temperature, movement, limb position and fine discrimination
Perceptual
- The integration or patterning of sensory impressions into psychologically meaningful data
Vision
- Partial or total loss of vision
- Weakness of eye muscles and double vision
- Blurred vision
- Problems judging distance
- Involuntary eye movements
- Intolerance of light
Some other issues that victims face may include:

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Taste
- Loss or diminished sense of taste
Seizures
- The convulsions associated with epilepsy that can be several types and can involve disruption in consciousness, sensory perception or motor movements
Physical Changes
- Physical paralysis/spasticity
- Chronic pain
- Control of bowel and bladder
- Sleep disorders
- Loss of stamina
- Appetite changes
- Regulation of body temperature
- Menstrual difficulties
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Social-Emotional
- Dependent behaviors
- Emotional ability
- Lack of motivation
- Irritability
- Aggression
- Depression
- Disinhibition
- Denial/lack of awareness
Hearing
- Decrease or loss of hearing
- Ringing in the ears
- Increased sensitivity to sounds
Smell
- Loss or diminished sense of smell
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