Because of the size disparity between a truck and a passenger vehicle, the injuries to those in the passenger vehicle are often traumatic, even catastrophic. Catastrophic injuries include traumatic brain injuries, internal injuries, amputations, and spinal cord injuries that change the victim’s life forever. A traumatic brain injury may not be immediately evident following a truck accident which is why you must undergo a thorough medical evaluation. TBIs can lead to long-term issues, including chronic headaches, cognitive deficits, and personality changes.