TY - JOUR
T1 - Don't neglect the clock drawing test
AU - Vinker Shuster, Michal
AU - Hannah, Maayan
AU - Todd, Zalut
N1 - Publisher Copyright:
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.
PY - 2018/1/1
Y1 - 2018/1/1
N2 - INTRODUCTION: A 63-year-old, right-handed woman with a history of hypertension presented to the ED with left arm paresis of 2 days duration. Three weeks before admission, she had flu-like symptoms with intermittent left arm weakness that had recovered briefly but recurred 2 days prior to her presentation. On neurological examination, GCS was 15 and cranial nerves' function was normal. Left upper limb strength was 4/5. There was left arm drift and pronation but the patient denied noticing any difference between the positions of her arms. Hyper-reflexion was presented in the left arm. The rest of her motor, cerebellar, sensation and gait functions were normal. She was asked to draw a clock and set it to 15:30 (figure 1).emermed;35/1/38/F1F1F1Figure 1Clock drawing test results.QUESTION: What is the most probable aetiology?Right cerebral bleeding involving the occipital lobeRight middle cerebral artery occlusionRight parietal lesion, likely neoplasmLeft cortical stroke.
AB - INTRODUCTION: A 63-year-old, right-handed woman with a history of hypertension presented to the ED with left arm paresis of 2 days duration. Three weeks before admission, she had flu-like symptoms with intermittent left arm weakness that had recovered briefly but recurred 2 days prior to her presentation. On neurological examination, GCS was 15 and cranial nerves' function was normal. Left upper limb strength was 4/5. There was left arm drift and pronation but the patient denied noticing any difference between the positions of her arms. Hyper-reflexion was presented in the left arm. The rest of her motor, cerebellar, sensation and gait functions were normal. She was asked to draw a clock and set it to 15:30 (figure 1).emermed;35/1/38/F1F1F1Figure 1Clock drawing test results.QUESTION: What is the most probable aetiology?Right cerebral bleeding involving the occipital lobeRight middle cerebral artery occlusionRight parietal lesion, likely neoplasmLeft cortical stroke.
KW - Emergency Departments
KW - Neurology
UR - http://www.scopus.com/inward/record.url?scp=85052330481&partnerID=8YFLogxK
U2 - 10.1136/emermed-2017-206680
DO - 10.1136/emermed-2017-206680
M3 - Article
C2 - 29247135
AN - SCOPUS:85052330481
SN - 1472-0205
VL - 35
SP - 38
EP - 39
JO - Emergency Medicine Journal
JF - Emergency Medicine Journal
IS - 1
ER -
