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[Aslandus]

The same thing happened to me, except it was a minecart accident that broke the skull. The medical dwarves cleaned and treated the wound as any other broken bone would be treated (only dwarves know how to use splints to immobilize a skull)

[slothen]

if the brain isn't torn/destroyed, then yes you can survive.  Typically skull-shattering trauma is followed by repeated blows that lead to brain death.  However if you survive the immediate after effects, I would expect the skull to completely heal over a few in-game years.

[GavJ]

Solon InchedDike The Dank Year. The brain injury never healed, by the way, but it doesn't seem to affect him.

Well, that beats my story of a legless militia commander who still managed to get ten or eleven kills over the course of eight years...

You should totally be able to wheel around other squadmates in wheelbarrows! Why is Toady not devoting 100% of his time to this feature?!

[Aspgren]

Solon InchedDike The Dank Year. The brain injury never healed, by the way, but it doesn't seem to affect him.

Back in 40d I had a dwarf who had a "broken" brain. He lived and I remember that, after several years, you could tell he was different from the others. He did not form any new relations during these years. Not even passing acquaintances.
I seem to remember his ability to gain skills was affected as well but it was so long ago that I don't remember.

If you still have that save somewhere, you could see if Solon's ability to make friends has changed.