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Do you recommend any medical management for patients with evidence of intracranial atherosclerosis without evidence for stroke?
Answer from: at Community Practice
I would focus more on primary prevention strategies, including lifestyle modifications and high-intensity statin therapy if LDL is elevated. The evidence supporting antiplatelet therapy for primary prevention in patients with stroke risk or intracranial atherosclerosis is either lacking or not stron...
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Answer from: at Community Practice
As long as there are no contraindications, prophylaxis seems logical.