What are the treatment options for stroke caused by giant cell arteritis or Takayasu arteritis?
In adults with ischemic stroke or TIA and diagnosis of giant cell arteritis or Takayasu arteritis, treatment options include the use of oral steroids plus adjunctive therapy that may include methotrexate or tocilizumab. A slow taper of oral steroids to a target of 5 mg/d after 1 year is reasonable in light of reports of exacerbation after rapid steroid withdrawal.690,709