<s>[INST] hi i am ravindra my mother age of 45 yrs have 1)acute nonhemorrhagic infarct in the temporo parietal region involving posterior part of the perislyvian region 2)old nonhemorghagic in the fronto -temoro parietal region 3)old infart with gliosis in the left frontal region 4)mild microvascular chronic white matter ischemic chnages in the bilateral frontoparietal region due to this she have slurred speech plz advice is it can be cured 100% by medicine or it needs surgery and is thier any possibility of paralysis in fututre? plz advice [/INST] Dear the problem seems to be not be excluded with surgery. My advice is to undertake your mother to blood test to exclude diabetes. Does your mother suffer from heart problem, atrial fibrillation? I think cause of those brain damage is a cardiac problem or vasculitis. Take contact with a neurologist, and he will explain you. Be sure that your mother is taking aspirin 100-300 mg once a day. Wish my advice will help you </s>