Reduce risk of an ipsilateral stroke
- Antithrombotics for 6 months
- Two underpowered RCTs suggest aspirin and warfarin are similar, with numerically higher ischaemic strokes on antiplatelets, and major extracranial bleeding occurring exclusively on warfarin
- Blood pressure lowering
- Cholesterol lowering
Practice varies regarding follow-up imaging
- Risks of recurrent dissection and other local complications appear small
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