Although the correlations are modest (similar to r = 0.35), brain size
as determined by magnetic resonance imaging has been positively relat
ed to measures of psychometric intelligence. Three studies dealing wit
h brain size-IQ relationships are presented in patients who have suffe
red traumatic brain injury (TBI). Study 1 was an examination of whethe
r the brain size-IQ relationship was proportionally maintained in resp
onse to TBI-induced atrophic changes in the brain. Study 2 was an exam
ination of whether smaller brain size at the time of injury was a risk
factor for more significant decline in IQ after injury. Study 3 was a
n examination of whether focal lesion volume plays a role in postinjur
y brain size-IQ relations. Results indicated that trauma-induced atrop
hic brain changes are related neither to postinjury IQ nor focal lesio
n volume. However, patients with TBI with smaller brain size at the ti
me of injury did have significantly lower postinjury IQ scores when co
mpared to a matched group that had larger premorbid brain size. These
latter findings are discussed in terms of potentially greater neuronal
redundancy in the larger brain. The fact that brain size-IQ relations
hips do not hold in the posttraumatic atrophic or focally damaged brai
n indicates the complexity of the relation between brain size and morp
hology.