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  • 1
    Jan
    2013
    10:44am, EST

    Hillary Clinton remains hospitalized, but expected to recover

    The Secretary of State has been undergoing treatment for a blood clot just below her ear that was reportedly caused by the concussion she suffered in mid-December. She is expected to make a complete recovery. NBC News chief science correspondent Robert Bazell reports.

    By Maggie Fox and JoNel Aleccia, NBC News

    Secretary of State Hillary Clinton remained hospitalized Tuesday for a blood clot in her head, but her doctors say she has no brain damage and is expected to recover completely.

    Clinton, who fainted and suffered a concussion earlier this month, is being treated with blood thinners to help shrink the clot, which is in one of the veins between the brain and her skull.

    "In the course of a routine follow-up MRI on Sunday, the scan revealed that a right transverse sinus venous thrombosis had formed,” Dr. Lisa Bardack of Mt. Kisco Medical Group in New York and Dr. Gigi El-Bayoumi of George Washington University said in a joint statement.

    “This is a clot in the vein that is situated in the space between the brain and the skull behind the right ear.  It did not result in a stroke, or neurological damage. To help dissolve this clot, her medical team began treating the secretary with blood thinners. She will be released once the medication dose has been established.”

    Sec. of State Hillary Clinton was supposed to return to work later this week until doctors discovered a blood clot had formed in a vein between her brain and skull. NBC's Andrea Mitchell reports.

    The statement helps answer questions about Clinton’s condition, outside experts said. “This is different than a lot of assumptions that people made, which is that it was a deep vein thrombosis in her leg,” said Dr. Alex Valadka, a spokesman for the American Association of Neurological Surgeons and a practicing neurologist in Austin, Texas.

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    The statement from Clinton’s doctors suggested she would recover fully.

    “In all other aspects of her recovery, the Secretary is making excellent progress and we are confident she will make a full recovery. She is in good spirits, engaging with her doctors, her family, and her staff,” they said.

    Valadka said such a clot can be very dangerous.

    “This could potentially be very serious because so much blood goes through your brain,” Valadka told NBC news. “If you block one of the major draining pathways, you can get a stroke.”

    Valadka said standard treatment would be to infuse a bloodthinner such as heparin right away, and to then put a patient onto blood thinner pills for a fews weeks or months.

    “The interesting question is how is this related to her concussion, if at all?” Valadka asked.

    Clinton, 65, is known for hitting the road hard and she’s logged close to a million miles in travel, having visited 112 countries while in office. She had planned to step down in 2013 and was widely considered a potential front-runner for the Democratic nomination for president, if she chose to run again in 2016.

    The extensive travel and dehydration could predispose someone to such a blood clot, Valadka said.

    “These dural venous sinus thromboses, they can happen spontaneously on their own without any trauma, without any blow to the head,” Valadka said. “Is it just a coincidence?”

    But a blow to the back of the head could have damaged the vein, causing the clot, he added.

    Dr. Jack Ansell of the New York University School of Medicine agreed.

    “This condition is certainly not common but it’s not rare, either, and certain patients are prone to it,” Ansell said. “They include those who have head trauma, as she did, and people who have other underlying tendencies to have blood clots. It’s a serious problem but it is certainly one that is eminently treatable. I would expect her get better.”

    Slideshow: A political life

    Kevin Lamarque / Reuters

    Hillary Clinton's life has taken her from first lady to senator to secretary of state.

    Launch slideshow

    Related stories:

    Hillary Clinton hospitalized for blood clot

    Clinton faints, suffers concussion

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  • 31
    Dec
    2012
    11:03am, EST

    Hillary Clinton hospitalized after doctors discover blood clot

    The Secretary of State has been undergoing treatment for a blood clot just below her ear that was reportedly caused by the concussion she suffered in mid-December. She is expected to make a complete recovery. NBC News chief science correspondent Robert Bazell reports.

    By NBC News staff

    Secretary of State Hillary Clinton was admitted to a New York City hospital on Sunday after doctors discovered that a blood clot had formed, the State Department said in a statement.

    Philippe Reines, a deputy assistant secretary, said in the statement that the clot stems from a concussion Clinton sustained several weeks ago.

    Reines said that Clinton, 65, is being treated with anticoagulants at NewYork-Presbyterian Hospital in Manhattan. She will be monitored there for the next 48 hours, he said.

    “Her doctors will continue to assess her condition, including other issues associated with her concussion," he said. "They will determine if any further action is required.”

    Dr. Roshini Raj, a physician at New York University Medical Center and a contributor to the TODAY show, says it’s not at all clear where Clinton’s blood clot is – which is important for understanding how serious her medical condition is.

    “It’s a little murky,” Raj told TODAY. It is uncommon for a concussion alone to cause a blood clot. More likely is a blood clot elsewhere from lying in bed to recover from a concussion, Raj said.

    Dr. Roshini Raj, an attending physician at NYU Medical Center, speaks with TODAY's Willie Geist about Hillary Clinton's blood clot complication, how common it is and what it may mean for her health going forward.

     

    Related: Hillary Clinton recovering after fainting

    Clinton suffered the concussion from fainting earlier in December. She had been sick for several days with the flu and had canceled a trip to Morocco where she was to officially recognize the Syrian rebels.  

    Brain injury doctors told NBC News said that although details haven't been made public, initial reports indicate that Clinton may have developed a blood clot in her lower limbs as a result of prolonged rest and inactivity after her recent concussion.

    A deep vein thrombosis, known as a DVT, or a dural venous sinus thrombosis, could be two types of blood clots treated with anticoagulants, said Dr. Alex Valadka, a spokesman for the American Association of Neurological Surgeons. A blood clot could be dangerous if it breaks free and lodges in a vital organ, such as the heart.

    Kevin Lamarque / Reuters file

    Clinton, photographed here on Dec. 6 at Dublin City University, canceled a trip to Morocco earlier this month after a bout of flu. She was hospitalized Sunday after doctors discovered a blood clot stemming from a concussion she sustained earlier in the month.

    A deep vein thrombosis could be serious, but not necessarily life-threatening, and would require months of treatment with blood-thinning drugs, said Dr. Inam Kureshi, chief of neurosurgery at Hartford Hospital in Hartford, Conn.

    "Usually hospitalization is more of a precaution," Kureshi said.

    Slideshow: A political life

    Kevin Lamarque / Reuters

    Hillary Clinton's life has taken her from first lady to senator to secretary of state.

    Launch slideshow

    It is possible that Clinton developed a blood clot elsewhere, including her brain. Doctors interviewed would not speculate about treatment or prognosis for the secretary of state. 

    Days after she fainted, State Department officials said she was at home recovering. Officials also issued a statement from Dr. Lisa Bardack of Mount Kisco Medical Group and Dr. Gigi El-Bayoumi of George Washington University that provided more information about the secretary's condition:

    "Secretary Clinton developed a stomach virus, leading to extreme dehydration, and subsequently fainted. Over the course of this week we evaluated her and ultimately determined she had also sustained a concussion.  We recommended that the Secretary continue to rest and avoid any strenuous activity, and strongly advised her to cancel all work events for the coming week.  We will continue to monitor her progress as she makes a full recovery."

    It wasn’t the first time Clinton passed out while sick with a stomach bug. As a U.S. senator representing New York, Clinton fainted in 2005 during a speech in Buffalo after complaining of a stomach virus.

    NBC's Robert Bazell tells MSNBC's Chris Jansing that it is unclear how severe the blood clot could be for the health of Sec. of State Hillary Clinton, given lack of specific information about her condition on Sunday evening.

    NBC's JoNel Aleccia and Isolde Raftery contributed reporting. 

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