De acordo com Wikia :
It is revealed that Hodor's disability was caused by Bran inadvertently warging into Wylis, linking the minds of the present-day Hodor and the young stableboy from the past. This mental trauma caused Wylis to seize. As he did, he heard Meera shouting the phrase "Hold the door!" through Bran and began repeating it, eventually slurring the sentence together enough to reduce it to a single word: "Hodor." Through Bran's warging, young Wylis has experienced his own future death, destroying his mind. Hodor's entire purpose is revealed to be to hold the door at this point in time so that Bran may escape, even at the cost of his own life. While Bran and Meera escape, Hodor is torn to shreds by the wights that have broken through parts of the door, but despite everything he held the door.
Assim, o momento em que o jovem Hodor caiu no chão em um ataque foi no momento em que Bran acidentalmente sai do Hodor e entra no jovem Hodor. Então ele realmente se sacrificou pela segurança de Bran.