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Give 4 differential diagnoses. (0.5 marks each)
You decide to perform an angiogram of the carotid vessels which shows bilateral internal carotid artery dissection with formation of a pseudo aneurysm. A subsequent MRI shows this patient has had a cerebral infarction as a result of the stenosis of the true lumen of the carotid artery from the pseudoaneurysm.
What is the mainstay of treatment for this patient? (1 mark)