Can a blood clot in the brain be removed by medicines alone?

Hello doctor,

My aunt, who is 54 years old, is diabetic since the past 10 years, and she is under regular Insulin. 10 days back, she suddenly lost speech, and since then, she is not able to speak even a single word. I am attaching her computed tomography (CT) scan and magnetic resonance imaging (MRI) scan reports along with the prescription.

1. What is the problem?
2. How severe is the problem?
3. What treatment options are there?

Please advise in detail.

Thank you.

Hi doctor,

Thank you so much. Yes, we consulted a neurosurgeon locally, and he says there is a blood clot in the brain. Can this clot get removed by medicines alone? When will the doctor decide to do an operation to remove the blood clot? Based on what factors, an operation would be decided to be done? How long can she be continued on medicines? What if there is no speech even after a month of medicines? What course of action or treatment would be required at that time? I am very anxious about my aunt's health, so please help.

Thanks in advance.