What is the treatment for blood clots in the back?

Question

Hello doctor,

My 28-year-old son has JME epilepsy, mostly under control, and also one part Leiden Factor V. He had an accident last year. Broke a few neck bones (hangman's bone) and broke a few backbones, high up nearer the neck. Son is doing pretty well, and he is walking. He has a total blockage on one side of his vertebral artery. Recently he had a scan and has several blood clots in his back. Do clots ever go away? Other than low-dose Aspirin, what to do?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

The blood clot will not resolve with the aspirin drug. Aspirin is for prophylaxis to prevent further clot formation. For thrombosis, which is a blood clot, he needs to be prescribed Rivaroxaban or Apixaban-like anticoagulant medication. The Factor V Leiden mutation puts you at high risk for the development of thrombosis.

It is a common cause of congenital thrombosis. A thrombus can be resolved by anticoagulation medication. So it will go with drugs. After thrombosis treatment, you need to be given lifelong anticoagulation medication if you are factor V Leiden mutation positive, as per history.

I hope I have answered your question.