Injury Report: - Bryan Little | Page 4 | HFBoards - NHL Message Board and Forum for National Hockey League

Injury Report: Bryan Little

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

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.
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Great post here from a very educated person. The general feeling I get from your post, is that it's not a critically serious injury for all the reasons you stated. From what I can gather from your post, and the fact that he skated off on his own power, and that he's been relatively symptom free right after and up until now, it's likely a contusion as you say, and will likely heal itself over some time. I think your probably right.

If I had to bet -- my money is we'll see Little back on the ice with the Jets this year --maybe a couple of months -- hopefully so. Thanks for the insightful post. :)
 
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I should just add to this thread here, the fact that all hockey players in the 1950's and 1960's played with no helmets and or facial shields. This included Goaltenders who took tons of stitches in their head and face.

Most all of these types of guys --like Terry Sawchuk and Jaques Plante, Glenn Hall and others all returned to the game. You have to wonder how many played while being in a concussed state ?? Probably a lot - very brave guys.

It would take a lot of guts to stand in net with no mask and guys like Bobby Hull blasting shots at you at 95 MPH.
 
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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.

Thank you for this post.
 
Brain injuries take the longest to heal, and are very susceptible to being re-aggravated. After the Kunin hit earlier, I'd be surprised to see him come back, maybe towards the end of the season. It's a big loss, easily one of my favourites on this team, as an original. You just want him to be able to enjoy the game and life again when he does come back.

I worry about Ehlers too. He must be reliving the moment. You don't want to go into a funk over what's been done.

This will be a test of our team's strength. Could be a rallying point or a turning point.
 
Why is no one mentioning the shot was deflected? I'm sure Ehlers feels bad enough without reporters saying it was an errant shot.
Doesn't probably matter to Ehlers that the shot was deflected , he's still gonna feel responsible because he shot the puck , i know i would feel that way anyway .
 
Certainly not Ehler's fault. The thought crosses my mind at least once a game while I'm watching - how is it that these guys aren't getting beaned on a regular basis? You have situations all game long where players stand in groups in front of the net trying to block or deflect slappers from the point and almost never does anyone take one in the head or face. It's remarkable. Even if the shot isn't deflected, in the heat of the moment anything can happen. If the puck is rolling a bit when Ehler's launches it it's basically out of control. Could go anywhere. Little was extremely un-lucky to have been in exactly the wrong place at exactly the right time.

I very much doubt Little comes back this season. Wouldn't be at all surprised if he decides to hang em up...
 
Certainly not Ehler's fault. The thought crosses my mind at least once a game while I'm watching - how is it that these guys aren't getting beaned on a regular basis? You have situations all game long where players stand in groups in front of the net trying to block or deflect slappers from the point and almost never does anyone take one in the head or face. It's remarkable. Even if the shot isn't deflected, in the heat of the moment anything can happen. If the puck is rolling a bit when Ehler's launches it it's basically out of control. Could go anywhere. Little was extremely un-lucky to have been in exactly the wrong place at exactly the right time.

I very much doubt Little comes back this season. Wouldn't be at all surprised if he decides to hang em up...
Depending on the type of injury to the brain he has , he might not even have a say in if he can keep playing . I had to stop all physical sports immediately after they discovered where the brain was bleeding .
 
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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.

Awful news for Little and the Jets. Thanks very much for your excellent description of the putative injury.
 
Global news now reporting he has bleeding in brain. That is some scary stuff
Well, if there is any reason for optimism, doctors had to drill a hole in Gordie Howe's brain to save his life after a fall into the boards when he was 23. He had quite the career after that.

Then again, Gordie had youth on his side. I have no reason to believe that Little won't make a full recovery. However, this would put his hockey-playing days in grave jeopardy, considering the dangers of any more head shots.
 
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 the professional opinion on this, I really appreciate it. I don't even care much about the hockey side of this, I just feel terrible for Bryan. Total professional and class act on and off the ice.
 
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.

If I had saved enough, I would be done if I were him. I know these guys love to play the game, but after what he has been through? I don't think I could come back.
 
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Thanks for the professional opinion on this, I really appreciate it. I don't even care much about the hockey side of this, I just feel terrible for Bryan. Total professional and class act on and off the ice.

This is how I feel as well. I'm hoping he can recover first and foremost; don't care about hockey at this point.. Best wishes to Bryan.
 
Yes, this is seriously one of things that hockey doesn't matter at the topic. Hope Little will be recovering as well as possible. No one should feel differently, because this so much more than hockey. Too, with a such a nice guy what I've heard. Puts life into perspective.
 

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