<s>[INST] What is the clinical implication of CT finding of gliotic infarct involving parafacline right occipital lobe, left frontal lobe and right high parietal lobe with no evident abnormal idptomeningeal enhancement. She is 9 month old baby with reduced activity of left hand and brown patches on limbs . The possible cause and treatment if any? Thanks [/INST] Hi, Thank you for posting your query. The infarcts on the brain scan are old, probably they occurred in the intrauterine period (before birth) and these findings can explain her hand weakness. As of now, she needs good physiotherapy and exercises. If her limbs are spastic (tight), then, Botox injections would also help. Brown patches need to be examined. If possible, please upload a photograph. In any case, the child would continue to improve as she grows. Best wishes, Chat Doctor.  </s>