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Amaurosis fugax with carotid stenosis — MCCQE Part 1 MCQ

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HardVisual DisturbanceAmaurosis fugax with carotid stenosisMCCQE Part 1

A 29-year-old woman has a 15-minute episode of right eye 'curtain coming down' vision loss, now resolved. Carotid Doppler: 75% right ICA stenosis. Most appropriate management?

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Correct answer: D — Carotid endarterectomy within 2 weeks plus antiplatelet therapy

Amaurosis fugax (TIA) with symptomatic carotid stenosis >=50%: CEA within 2 weeks for maximum benefit. Benefit is time-dependent. Antiplatelet therapy immediately.

Reference: Canadian Stroke Best Practices