<s>[INST] Hi. I am a 28 year old woman. I have been on Yasmin birth control pills for a year and I have had bad migraines for that entire year. Recently I did an MRI test and it turned out I have a lacunar infacrtion in the right putamen as well as the external capsule. Would the affected area need to be surgically removed? Thanks. [/INST] Well infarted area to be removed it would be difficult what is lavunar infart it small quit small areas of brain got dead loss of blood supply so what shoud be ideal to take medication for secondary prevention ?? </s>