December 31, 2012 in Nation/World

Clinton hospitalized with blood clot

Secretary of state had concussion weeks ago
Matthew Lee Associated Press
 

WASHINGTON – Secretary of State Hillary Rodham Clinton was admitted to a New York hospital Sunday after the discovery of a blood clot stemming from the concussion she sustained earlier this month.

Clinton’s doctors discovered the clot Sunday while performing a follow-up exam, said her spokesman, Philippe Reines. He would not elaborate on the location of the clot but said Clinton is being treated with anti-coagulants and would remain at New York-Presbyterian Hospital for at least the next 48 hours so doctors can monitor the medication.

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

Clinton, 65, fell and suffered a concussion while at home alone in mid-December as she recovered from a stomach virus that left her severely dehydrated. The concussion was diagnosed Dec. 13 and Clinton was forced to cancel a trip to North Africa and the Middle East that had been planned for the next week.

The seriousness of a blood clot “depends on where it is,” said Dr. Gholam Motamedi, a neurologist at Georgetown University Medical Center who was not involved in Clinton’s care.

Clots in the legs are a common risk after someone has been bedridden, as Clinton may have been for a time after her concussion. Those are “no big deal” and are treated with six months of blood thinners to allow them to dissolve on their own and to prevent further clots from forming, he said.

A clot in a lung or the brain is more serious. Lung clots, called pulmonary embolisms, can be deadly, and a clot in the brain can cause a stroke, Motamedi said.

Keeping Clinton in the hospital for a couple of days could allow doctors to perform more tests to determine why the clot formed, and to rule out a heart problem or other condition that may have led to it, he said.

Dr. Larry Goldstein, a neurologist who is director of Duke University’s stroke center, said blood can pool on the surface of the brain or in other areas of the brain after a concussion, but those would not be treated with blood thinners, as Clinton’s aide described.

Last Thursday, before the discovery of the blood clot, Reines said Clinton was expected to return to work this week.

She is the most traveled secretary of state in history, having visited 112 countries while in the job.

© Copyright 2012 Associated Press. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.


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