He can pay the USD equivalent via other sources. Civil suit awards
aren't always paid upfront, so he doesn't necessarily need to hand over the BTC as per the exact wording of the ruling. I seriously doubt CSW has $5 billion to his name, so Kleiman's estate could strip him of everything he owns, and hound him endlessly afterwards.
Fingers crossed that's how it unfolds. Hopefully that would leave Wright far less disposable income for other frivolous lawsuits and make him generally less of a nuisance. Once they take away his funding, all he has left are his tall tales.