Concussion Signs After a Crash: What to Watch the First 72 Hours

A concussion may affect your ability to work, drive, sleep, and handle daily life. Call The Hoffmann Law Firm to schedule a free consultation.

A concussion is one of the most overlooked injuries after a car accident. Symptoms may appear slowly, change over time, or seem unrelated to the crash. For St. Louis drivers, the first 72 hours are critical because this is when many concussion warning signs typically appear.

If you experience concussion symptoms after a car accident — even a minor one — seeking medical attention could protect both your health and your injury claim.

Why the First 72 Hours Matter

After a crash, adrenaline can hide pain and neurological changes. Many people walk away thinking they’re fine, only to realize hours later that something is wrong.

During the first three days, pay close attention to:

  • Changes in thinking or concentration
  • Head pressure or headaches
  • Dizziness or loss of balance
  • Increasing fatigue
  • Mood or behavior shifts

Even mild symptoms may point to a potential brain injury.

Common Concussion Signs After a Car Accident

Here are the symptoms that may develop shortly after the crash and over the next few days.

1. Headaches or Pressure in the Head

A headache that gets worse, comes and goes, or feels “different” than normal may signal a concussion. Many drivers report a tight band-like pressure around the head hours after impact.

2. Dizziness or Balance Problems

Feeling off-balance, lightheaded, or unsteady while walking is one of the most common post-crash concussion symptoms.

3. Nausea or Vomiting

These may appear immediately or within the first 24–48 hours. They’re often dismissed as stress or nerves, but they can be signs of a brain injury.

4. Sensitivity to Light or Noise

Bright screens, headlights, or loud environments may feel overwhelming. This symptom often increases overnight or on day two.

5. Brain Fog or Difficulty Concentrating

Trouble following conversations, focusing on tasks, or remembering simple details can occur quickly after a collision.

6. Mood or Behavior Changes

Irritability, anxiousness, emotional sensitivity, or feeling “not like yourself” may arise during the first 72 hours.

7. Sleep Disturbances

Victims may sleep more than usual, have trouble falling asleep, or wake up repeatedly throughout the night.

8. Delayed-Onset Symptoms

Some people experience symptoms 48–72 hours later, including:

  • Blurry vision
  • Ringing in the ears
  • Slowed reaction times
  • Trouble finding words

Why Concussion Symptoms Are Easy to Miss

Car accident concussions often occur without:

  • Loss of consciousness
  • Visible head trauma
  • Immediate symptoms

Because the injury is internal, insurance companies may question or minimize it. Medical documentation—especially early documentation—is vital for supporting your claim.

When You Should Seek Medical Attention

Get checked as soon as possible if you notice:

  • Worsening headaches
  • Repeated vomiting
  • Confusion or disorientation
  • Difficulty waking up
  • Seizure-like activity
  • Weakness or numbness in the limbs

These may point to a more serious traumatic brain injury.

How The Hoffmann Law Firm Helps After a Crash

A concussion may affect your ability to work, drive, sleep, and handle daily life. The Hoffmann Law Firm, L.L.C. has represented St. Louis car accident victims for more than 25 years, helping individuals navigate medical treatment, insurance challenges, and financial recovery options.

You work directly with Attorney Christopher Hoffmann — not a case manager at a national firm.

If you believe you suffered a concussion after a crash, you may have questions about medical bills, missed work, or how insurance might handle your claim.

Free Consultation with a St. Louis Car Accident Lawyer

Don’t talk to an insurance claims adjuster before speaking with The Hoffmann Law Firm, L.L.C. We can help you avoid making statements that may affect the outcome of your case. The consultation is free; you don’t pay unless we get you money!

Updated: December 11, 2025