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Suggest Treatment For Venous Sinus Thrombosis While On Acitrom

Posted on Sat, 20 May 2017

Question: My husband was diagnosed with venous sinus thrombosis on oct 2015. He was put on heparin initially and after diacharge he was put on acitrom 4 mg per day which was further reduced to 2 mg a day.He recently had a mri which stated poor signal flow in right transverse and sigmoid sinus.Rest everything is ok.The doctor is now asking him to stop acitrom for one month and undergo some test.But i am really scared if on leaving acitrom his life may be at risk.kindly guide.I am attaching latest mri report

Answered by Dr. Geeta Sundar (7 hours later)

Brief Answer:
MRI does not show any active thrombosis.

Detailed Answer:
Hi, welcome to HealthcareMagic, I've reviewed the reports.

MRI does not show any active thrombosis.

Your husband has been asked to undergo Prothrombin time(PT). In case the PT is prolonged he may put him back on Acitrom. Please do not worry. Acitrom continued for long can also lead to bleeding tendency. That is why the Neurologist wants to assess whether there is need to continue.

He will probably also want him to undergo other tests like lipid profile and serum homocysteine, for which safer medicines with less side effects are available if raised like Folic acid and statins.

You can discuss this with him.

Feel free to revert back.
Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Geeta Sundar (1 hour later)

Dear mam..Thanks for your advice.I was concerned over por signal flow.So now he can follow doctors advice...Since he has regular tourjng job..i just wanted to ask if any precaution he needs to follow.As he will be without acitrom..Are there chances for the clot to develop again in brain..Also kindly let us know the expected charges of this test as the doc was saying it may cost about 25000.thanks

Answered by Dr. Geeta Sundar (3 hours later)

Brief Answer:
keep himself hydrated with plenty of fluids, and take folic acid 5 mg daily

Detailed Answer:
Dear XXXXXXX I really do not know which test he is considering that may cost 25k.
If I knew the name of the test, I could check.
Ask him to keep himself hydrated with plenty of fluids, and take folic acid 5 mg daily. These are the only precautions I can think of.

regards

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Geeta Sundar (8 hours later)

Mam if he leaves anticoagulant are there chances of clot development in any other part of body..He has to leave acitrom for one month.Please also peovide some insight into meaning of poor signal flow

Answered by Dr. Geeta Sundar (27 minutes later)

Brief Answer:
poor signal flow means a little less blood flow.

Detailed Answer: XXXXXXX poor signal flow means a little less blood flow.
I do not think anything will happen in a month.
Can you send a mail to the Neurologist asking for name of test?
Best wishes,
regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj