Hello! Thank you for asking on HCM! I understand your concern and would explain that her symptoms seem to be related to the brain hemorrhage caused by the aneurysm rupture. You should know that it is needed a long time (months up to a year), to recover from such a disorder. After the first year, the possibility of improvement is too low, and the situation remains the same. This is because during the first months, the blood is being absorbed and the there is inflammation in the surrounding tissues. But after this long period, the deficits which remain are caused by the damaged brain cells, which do not regenerate. The situation, complicated with pneumonia and ulcer bleeds is really concerning and needs a careful treatment in specialized medical centers. They could be related to aspiration and the therapies she has been taking. Hope to have been helpful! Best regards, Dr. Aida