A traumatic brain injury changes everything—and in Texas, it can feel like no one believes you.
A brain injury often creates a private struggle that the outside world cannot see. While friends and family may be the first to notice subtle changes in your processing or personality, these shifts are deeply personal and can make routine interactions feel like significant hurdles.
You might find yourself searching for once-familiar words or feeling a sense of disconnection during moments that used to bring joy.
Because emergency room CT scans are designed to find life-threatening bleeds rather than microscopic nerve damage, a "normal" result often fails to capture the cognitive fatigue, memory gaps, and emotional taxing that survivors experience every hour.
This does not mean the injury is minor; it means the damage is invisible to standard tools but remains a central reality in your daily life.
Traumatic brain injury is one of the most underdiagnosed and underpaid categories of serious harm in Texas civil law. Cowen | Rodriguez | Peacock are Texas brain injury lawyers based in our San Antonio headquarters who fight for TBI survivors across the state.
When insurers argue your imaging was clean and your injury is therefore minor, we bring in the neurologists, neuropsychologists, and life care planners who translate invisible damage into measurable loss.
Do not let an insurance adjuster dictate your recovery. Call (210) 941-1301 for a free consultation today.

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How Cowen | Rodriguez | Peacock Handles Texas Brain Injury Cases Differently
Brain injury claims reward preparation and punish shortcuts. They require medical literacy most personal injury firms do not develop, expert witness networks most firms do not build, and a willingness to try the hard cases where defendants argue the injury is exaggerated or imagined.
Catastrophic injury is our practice
Traumatic brain injury, spinal cord damage, and wrongful death form the core of what we do. Severe injury cases are not a sideline for this firm.
$10.5 million judgment and $4 million jury verdict on record
Outcomes at this level come from preparing cases for trial, not from accepting the first serious offer an insurer extends.
Board-certified at the highest level
Michael Cowen holds Board Certification in Personal Injury Trial Law from the Texas Board of Legal Specialization. Malorie Peacock carries Board Certification in Truck Accident Law from the National Board of Trial Advocacy, a credential held by only a small group of Texas attorneys.
Medical expert infrastructure
We work with neurologists, neuropsychologists, neurosurgeons, vocational rehabilitation specialists, and life care planners who routinely testify in TBI cases. The right experts determine whether a brain injury claim resolves for six figures or eight.
You work with an attorney
Direct phone access to a lawyer, not a rotation of case managers. Cases involving cognitive injury require patient communication, and we build the relationship around that reality.
Contingency representation
No retainer, no hourly billing, no fees unless we bring in money for you.
Brain injury litigation is one of the few areas of civil law where the quality of the lawyer moves the settlement number by seven figures or more.
Why Brain Injury Claims Get Underpaid in Texas
Most traumatic brain injury victims settle for a fraction of what their lifetime needs actually cost. A few patterns drive that outcome, and each one has a counter.
- The normal CT problem: Standard emergency room imaging detects bleeds and fractures, not the microscopic axonal damage that causes most cognitive dysfunction after impact. Defense lawyers point at a clean CT as if it rules out injury. We bring in neurologists to explain diffusion tensor imaging and neuropsychological findings to juries.
- Delayed symptom onset: Cognitive and emotional symptoms can surface weeks or months after the initial injury, long after the insurance claim is already in motion. We document the full symptom timeline with treating physicians and family members rather than relying only on ER records.
- The "you look fine" defense: Brain injury survivors often present normally in a short courtroom appearance. Defendants exploit this by implying the injury is fabricated. We use day-in-the-life video, family testimony, and neuropsychological testing to show what the injury actually looks like in ordinary life.
- Malingering accusations: Defense medical examiners are often paid to suggest symptoms are feigned. We prepare clients for independent examinations and pair those exams with validated effort testing that undermines malingering claims.
- Low initial offers: Insurers know TBI cases carry enormous value when developed properly, so they move quickly to settle for a number tied only to ER visits and a few weeks of follow-up. We decline early offers and build the file that shows the twenty-year cost.
- Future damage proof: Life care plans, vocational economic analysis, and neuroeconomic forecasting are all essential and all expensive. We front those costs as part of our representation so the claim reaches full value.
These cases reward slow, thorough, and medically literate advocacy. That is the work we do.
Brain Injuries That Qualify for a Texas Legal Claim
Texas law recognizes a wide range of traumatic brain injury diagnoses as the basis for a civil claim. You may have a case if you or a loved one experienced:
- Mild traumatic brain injury or concussion: Including post-concussion syndrome with persistent symptoms such as headaches, memory deficits, sensitivity to light and sound, and mood changes.
- Moderate traumatic brain injury: Loss of consciousness, measurable cognitive impairment, and symptoms lasting months or longer.
- Severe traumatic brain injury: Extended loss of consciousness, coma, or persistent vegetative state requiring lifetime care.
- Diffuse axonal injury: Rotational force injuries that damage nerve fibers throughout the brain, often invisible on standard imaging.
- Subdural and epidural hematomas: Bleeding between the brain and skull that may require emergency surgical intervention.
- Coup and contrecoup injuries: Impact damage on both the side struck and the opposite side of the brain.
- Anoxic and hypoxic brain injury: Brain damage from oxygen deprivation during or after a crash, often tied to delayed medical response.
- Wrongful death from brain trauma: Fatal head injuries where surviving family members pursue claims under the Texas Wrongful Death Act.
How Long Do I Have to File a Brain Injury Claim in Texas?
Two years is the standard filing window under Texas Civil Practice and Remedies Code Section 16.003.
Two years may seem like a long time, but it goes faster than you may think. Many things happen along the way, making it important to contact an attorney as soon as possible. Our brain injury attorneys protect you from insurance company tactics, provide critical advice and expertise to help you get the most out of your claim, secure evidence and medical records — which are often one of the biggest hurdles — and give you the support you need so you can focus on healing.
The clock starts ticking the moment the injury occurs. Waiting to consult a Texas brain injury lawyer can result in lost evidence, faded witness memories, and missed filing deadlines. Call (210) 941-1301 now to ensure your rights are protected from day one.
How Brain Injuries Happen in Our Texas Cases
Our firm's brain injury caseload comes primarily from the catastrophic crash and serious injury categories we handle daily:
- Commercial truck and 18-wheeler crashes: The size and speed of a fully loaded tractor-trailer produces some of the most severe brain injuries on Texas highways, particularly in rear-end and underride collisions.
- Passenger vehicle collisions: High-speed crashes on I-10, I-35, I-20, I-37, I-45, and US 281 where rotational forces and direct head impact produce TBIs even when outer injuries appear moderate.
- Rideshare and delivery driver crashes: Uber, Lyft, DoorDash, and other app-driver collisions where passengers and third parties sustain head trauma.
- Pedestrian strikes: Brain injuries in pedestrian crashes are common and often severe because the head is typically the second point of impact after the vehicle strikes the body.
- Product liability and defective product injuries: Defective forklifts, machinery, vehicle components, and industrial equipment that cause head trauma through design or manufacturing flaws.
- Oilfield and industrial explosions: Blast-related brain injuries in Texas energy sector incidents, a category where our firm has handled substantial prior work.
- Drunk and impaired driver crashes: Head injuries caused by intoxicated motorists, which frequently support exemplary damages.
Mechanism of injury shapes the legal case. The proof shapes the recovery.
What a Texas Brain Injury Case Can Recover
Brain injury damages often form the largest category in any personal injury verdict because the injury affects earning capacity, relationships, independence, and life expectancy. Texas law recognizes three damage categories, and each one looks different in a TBI case than it does in an orthopedic claim.
Economic damages include every measurable cost the injury creates:
- Acute medical care: Emergency response, neurosurgical intervention, ICU stays, and inpatient hospital treatment.
- Rehabilitation: Inpatient and outpatient cognitive rehab, physical therapy, occupational therapy, and speech-language pathology.
- Ongoing and future care: Neurologist follow-up, psychiatric medication management, assistive devices, and home health support.
- Supervised living arrangements: Residential care or in-home attendant services for survivors who cannot live independently.
- Lost income and lost earning capacity: The gap between what you would have earned and what a person with cognitive impairment can reasonably earn going forward, projected across your working life.
- Home and vehicle modifications: Accessibility adaptations, adaptive driving equipment, and cognitive prompting technology.
Most of these categories require expert testimony. Life care planners build detailed cost projections across the survivor's expected lifetime, and vocational economists translate those numbers into present value. Our firm advances the expert costs as part of the case.
Non-economic damages
Non-economic damages, or the human emotional costs, often carry enormous weight in TBI cases because cognitive and personality changes devastate relationships, identity, and daily function:
- Loss of enjoyment of life: The inability to do what you once loved, whether reading, parenting, working, or simply holding a conversation.
- Mental anguish and emotional suffering: Depression, anxiety, frustration, and grief tied to cognitive loss.
- Disfigurement and impairment: Physical signs of injury and the broader impairment of brain function.
- Loss of consortium: Changes in the relationship between you and your spouse, often profound in moderate and severe TBI.
| Economic Damages | Non-Economic Damages |
|---|---|
| Acute Medical Care Rehabilitation Ongoing Care Supervised Living Lost Earning Capacity Home/Vehicle Modifications | Loss of Enjoyment of Life Mental Anguish Disfigurement & Impairment Loss of Consortium |
Exemplary damages may apply under Texas Civil Practice and Remedies Code Chapter 41 when the defendant's conduct was grossly negligent, including drunk driving, hours-of-service violations, and deliberate disregard for safety.

Call us at (210) 941-1306 for a free consultation or contact us below. No cost to you unless we win.
FAQs About Texas Brain Injury Claims
Why did my CT scan look normal if I actually have a brain injury?
CT scans detect bleeding and skull fractures. They are not sensitive to the microscopic nerve fiber damage that causes most mild and moderate TBI symptoms. Diffusion tensor imaging on an MRI can show some forms of axonal injury, and neuropsychological testing can document cognitive deficits no imaging will reveal. A normal CT does not rule out brain injury.
What is post-concussion syndrome and how long can it last?
Post-concussion syndrome is a cluster of symptoms that persist after a concussion, including headaches, dizziness, memory problems, difficulty concentrating, irritability, sleep disturbance, and sensitivity to light and sound. For most people, symptoms resolve within weeks.
For others, they persist for months or years and may become permanent. Persistent post-concussion syndrome is a compensable injury in Texas civil law.
How do you prove a brain injury that is hard to see?
Through layered evidence: emergency and follow-up medical records, detailed symptom histories from the survivor and family members, neuropsychological testing, specialized MRI protocols, treating neurologist testimony, day-in-the-life documentation, and expert medical witness explanation of how the mechanism of injury produces the symptoms the survivor experiences. A well-built TBI case is never a one-expert case.
How long will my brain injury case take to resolve?
TBI cases generally take longer than ordinary injury claims because the medical picture has to stabilize before future damages can be projected accurately. Rushing a brain injury settlement almost always leaves money on the table. Most cases resolve within one to three years depending on complexity, though severe injuries may take longer to value properly.
Can I still pursue a claim if my symptoms started weeks after the crash?
Yes. Delayed symptom onset is common in brain injury, and Texas law does not penalize a claimant for symptoms that surface during recovery. Documenting the timeline with medical providers and family members is critical, and beginning early strengthens the case.
Start Your Texas Brain Injury Case Today
A brain injury rearranges the person you were into someone you are still meeting. The losses are deep and often permanent, and the legal response needs to be built at that scale. An insurer's first offer will not reach it, and a firm without TBI-specific experience will not reach it either.
You need a team that has done this work before, knows the experts who make the difference, and is ready to try the case if the money does not show up honestly.
Cowen | Rodriguez | Peacock build brain injury cases from the inside out: starting with the medicine, adding the neuropsychology, layering in the life care plan, and finishing with a trial-ready file that puts the full future cost in front of the jury if settlement fails.
Call (210) 941-1301 for a free consultation with a Texas brain injury lawyer. No cost unless we recover for you.
Our team is available 24/7, and Spanish-language support is offered.
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Cowen Law - Texas Office
Address: 6243 I-10 #801, San Antonio, TX 78201
Contact No: (210) 941-1306
