Injury Report: - Bryan Little | Page 3 | HFBoards - NHL Message Board and Forum for National Hockey League

Injury Report: Bryan Little

No matter which way you chalk it up it’s extremely concerning to see this happen to an all around good guy. Committed to the franchise and the City and has worked his *ss off on the ice. Here’s wishing him a speedy recovery.
 
Probably no one involved in the medical care thought it was important public information to go back and count every stitch.

Wouldn’t they count the stitches for medically relevant reasons though? Maybe not, just struck me a little weird.

”We used 15 instruments in this surgery and now we have 14-15 accounted for.”

”Yes, my wife is pregnant with like 1-2 kids.”

”We gave him some pills for the pain, like 2-3.”
 
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Wouldn’t they count the stitches for medically relevant reasons though? Maybe not, just struck me a little weird.

”We used 15 instruments in this surgery and now we have 14-15 accounted for.”

”Yes, my wife is pregnant with like 1-2 kids.”

”We gave him some pills for the pain, like 2-3.”
I think you are confusing what is in a medical file and what is getting reported to the public.
 
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Anyone else think that is will be a long time before we see Little back on the ice, might be overstating but he might be done for the season.
Ya unfortunately when it comes to the brain any head injury is serious . I had to stop all physical sports permanently after my head issues came to light , it's scary stuff .
 
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I’m a neurologist, I’ll try to add some context here.

He could have a very slow bleed point somewhere in his skull, that may not show up for a couple days. Maybe they can detect that, but I'm not so sure on that ? It's best to hold him, and see if he has any negative symptoms. Some skiers have hit their head with their helmet "on" and died 6 hours later, but felt OK for about 2-3 hours after the accident. For a slow bleed situation inside the skull, I think it takes time for the blood to accumulate inside the skull, and cause real problems.

You’re describing an epidural hematoma, which can present with a “lucid interval” of a few hours. That would have been ruled out already with a CT scan. Epidural hematomas are fairly uncommon, caused by an injury to an artery on the inside of the skull (temporal bone) that was quite unlikely to be damaged given where the puck hit Little’s head.

Global news now reporting he has bleeding in brain. That is some scary stuff

From the way this is described and from what we’ve been told of his condition (he’s alert, he’s being observed), Little probably suffered a contusion of the brain. A contusion is basically a bruise, blood under low pressure seeping into the tissue. No skull fracture is described, which is good news.

Cerebral contusions are usually managed without any surgical intervention. Their outcome depends on how bad the injury is — how much of the brain is damaged, and which part(s). The fact that Little was awake after the injury, and able to skate off, is a good sign.

People can recover fully from smaller cerebral contusions, ones that don’t cause coma or obvious neurological deficits with the initial injury (as seems to be the case here, hopefully).

They aren’t typically the cause of seizures, though there is certainly some risk there.

I guess Little will be kept out of any contact situation until at least the bleeding from the contusion is gone. As with bruises elsewhere in the body, contusions are gradually re-absorbed. That process can take a couple of months.

I’ll be surprised if he’s playing again before the All-Star break. He could miss the rest of the year. But it’s reasonable to hope that he can eventually come back to play again.
 
I’m a neurologist, I’ll try to add some context here.



You’re describing an epidural hematoma, which can present with a “lucid interval” of a few hours. That would have been ruled out already with a CT scan. Epidural hematomas are fairly uncommon, caused by an injury to an artery on the inside of the skull (temporal bone) that was quite unlikely to be damaged given where the puck hit Little’s head.



From the way this is described and from what we’ve been told of his condition (he’s alert, he’s being observed), Little probably suffered a contusion of the brain. A contusion is basically a bruise, blood under low pressure seeping into the tissue. No skull fracture is described, which is good news.

Cerebral contusions are usually managed without any surgical intervention. Their outcome depends on how bad the injury is — how much of the brain is damaged, and which part(s). The fact that Little was awake after the injury, and able to skate off, is a good sign.

People can recover fully from smaller cerebral contusions, ones that don’t cause coma or obvious neurological deficits with the initial injury (as seems to be the case here, hopefully).

They aren’t typically the cause of seizures, though there is certainly some risk there.

I guess Little will be kept out of any contact situation until at least the bleeding from the contusion is gone. As with bruises elsewhere in the body, contusions are gradually re-absorbed. That process can take a couple of months.

I’ll be surprised if he’s playing again before the All-Star break. He could miss the rest of the year. But it’s reasonable to hope that he can eventually come back to play again.
Thanks for this post.
 
**** sakes
He might be done all together now , it all depends where the bleed came from on or in the brain . Mine was deep and no surgery could be done because of the permanent damage that could come from doing the surgery . I'm jumping ahead a bit and shouldn't but i now suffer from migraine headaches and i have to be on anti-seizure medication . I just hope none of the same happens to Little .
 
He might be done all together now , it all depends where the bleed came from on or in the brain . Mine was deep and no surgery could be done because of the permanent damage that could come from doing the surgery . I'm jumping ahead a bit and shouldn't but i now suffer from migraine headaches and i have to be on anti-seizure medication . I just hope none of the same happens to Little .

I was going to ask if you have migraines and or bouts of dizziness, sorry to hear, hope it doesn't affect your day to day to a great extent
 
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He might be done all together now , it all depends where the bleed came from on or in the brain . Mine was deep and no surgery could be done because of the permanent damage that could come from doing the surgery . I'm jumping ahead a bit and shouldn't but i now suffer from migraine headaches and i have to be on anti-seizure medication . I just hope none of the same happens to Little .
Sorry to hear this. Thanks for sharing.
 
I’m a neurologist, I’ll try to add some context here.



You’re describing an epidural hematoma, which can present with a “lucid interval” of a few hours. That would have been ruled out already with a CT scan. Epidural hematomas are fairly uncommon, caused by an injury to an artery on the inside of the skull (temporal bone) that was quite unlikely to be damaged given where the puck hit Little’s head.



From the way this is described and from what we’ve been told of his condition (he’s alert, he’s being observed), Little probably suffered a contusion of the brain. A contusion is basically a bruise, blood under low pressure seeping into the tissue. No skull fracture is described, which is good news.

Cerebral contusions are usually managed without any surgical intervention. Their outcome depends on how bad the injury is — how much of the brain is damaged, and which part(s). The fact that Little was awake after the injury, and able to skate off, is a good sign.

People can recover fully from smaller cerebral contusions, ones that don’t cause coma or obvious neurological deficits with the initial injury (as seems to be the case here, hopefully).

They aren’t typically the cause of seizures, though there is certainly some risk there.

I guess Little will be kept out of any contact situation until at least the bleeding from the contusion is gone. As with bruises elsewhere in the body, contusions are gradually re-absorbed. That process can take a couple of months.

I’ll be surprised if he’s playing again before the All-Star break. He could miss the rest of the year. But it’s reasonable to hope that he can eventually come back to play again.

thanks for that post. He did skate off on his own and nothing reported on any fractures. So hopefully he can play again. IMO if it is 2 or so months if the team happens to be out of it by then may as well shut him down all season. Depending where the team is at. Although i am sure he will want to play when he can. Who knows. Back to back head injuries and I have heard he has had a few more in his career i'm sure he could very well have a choice to make. Heres to hoping we get to see him return to play again
 
I was going to ask if have migraines and or bouts of dizziness, sorry to hear, hope it doesn't affect your day to day to a great extent
Nah , they have great medications now for migraines , the anti-seizure medication is kind of crappy but i barely ever drink now because the 2 just don't mix well , wait that's another crappy thing that happened , i can't drink . :laugh:
 
Hope Bryan can make a good choice for his future. Head injuries make you really think about it
 
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Hope Little recovers fully. Scary incident to be sure. If it takes months for him to recover fully, sobeit.

This season does have a different feel. Roster questions. Now longer recovery injuries to Buff and Little. I won’t go so far as to say the season is lost, but our lack of depth is definitely showing.
 
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I'd be surprised if Little comes back this season. A concussion and now this head injury would give pause. I also wouldn't be surprised if he would seriously contemplate calling it a career. He'll be 33 years early next season, and has struggled through fractured vertebrae, a concussion and now another head injury. That's bound to weigh on him and his family.
 
He might be done all together now , it all depends where the bleed came from on or in the brain . Mine was deep and no surgery could be done because of the permanent damage that could come from doing the surgery . I'm jumping ahead a bit and shouldn't but i now suffer from migraine headaches and i have to be on anti-seizure medication . I just hope none of the same happens to Little .

That's a rough thing to deal with, sorry to hear it
 

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