,RECOMMENDATIONS:,  I would recommend conservative management with antiplatelet agents unless a near occlusion of the carotid arteries is demonstrated, in which case you might consider it best to do an angiography and consider endarterectomy. 
,RECOMMENDATIONS : , I would recommend conservative management with antiplatelet agents unless a near occlusion of the carotid arteries is demonstrated , in which case you might consider it best to do an angiography and consider endarterectomy .