Hello doctor, My 28-year-old son, has JME epilepsy, mostly under control and also 1 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, many blood clots in his back. Do clots ever go away? Other than low dose Aspirin, what to do?
Hello, Welcome to the icliniq.com. The blood clot will not resolve by Aspirin drug. Aspirin is for prophylaxis to prevent further clots formation. For thrombosis, that is a blood clot, and he needs to be prescribed Rivaroxaban or Apixaban like anticoagulant medication. Factor V Leiden mutation puts you on high risk for the development of thrombosis.  It is a common cause of congenital thrombosis. Thrombus can be resolved by anti coagulation medication. So it will go with drugs. After thrombosis treatment, you need to be given life long anti coagulation medication if factor V Leiden mutation positive as per history. I hope I have answered your question.