"Easily had an IQ between 250 and 300"
en.wikipedia.org
en.wikipedia.org
It also suggests that ordinary people today might increase their intelligence by trying to eliminate arterial plaque.
His one published book apparently "predicted the existence of regions of space where the second law of thermodynamics operated in reverse to the temporal direction that we experience in our local area. Everything outside of what we would today call a galaxy would be such a region. Sidis claimed that the matter in this region would not generate light.". This not only sounds wrong, it sounds like the kind of wrong that only somebody not particularly versed in thermodynamics (even as it existed in the 1920s) would write. His writings on other subjects seem to be equally wrong-headed.
It's a classic smart person disease, to think
(a) I have an idea
(b) I am smart, therefore
(c) My idea must be right!
See also: Einstein on politics.
If you're talking about the "mad genius" types, who struggle to cope with internal conflict, I'd agree as well. Ultimately, the requirement in this context for an "idea coming to fruition" would simply require that the person cares about everyone hearing their theory, or the benefit to the world that might result.