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<< Cervical Artery Dissection: Early Recognition and Stroke Prevention (Stroke CME, Trauma CME and Pharmacology CME)

Controversies And Cutting Edge

Timing Of Antithrombotic Therapy

Although evidence shows a clear benefit to the treatment of dissection with an antithrombotic agent as soon as possible for prevention of stroke, the timing is left up to the clinician. Patients at risk for hemorrhage may not be able to be started on treatment in the acute setting, but it is unclear when that patient is no longer at risk for hemorrhage. Many times, treatment is considered contraindicated in trauma patients or those with head injuries, but subsequent strokes can lead to poor outcomes or death. More studies are needed in order to answer this important question so that clinicians can balance risks and benefits of early treatment.

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