{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T09:40:27Z","timestamp":1716802827737},"reference-count":3,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Emerg Med J"],"accepted":{"date-parts":[[2017,4,25]]},"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec id=\"s1\" sec-type=\"intro\"><jats:title>Introduction<\/jats:title><jats:p>A\u00a063-year-old, right-handed woman with a history of hypertension presented to the ED with left arm paresis of 2\u2009days duration. Three weeks before admission, she had flu-like symptoms with intermittent left arm weakness that had recovered briefly but recurred 2\u2009days prior to her presentation. On neurological examination, GCS was 15 and cranial\u00a0nerves\u2019 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).<\/jats:p><jats:fig id=\"F1\" position=\"float\" orientation=\"portrait\"><jats:label>Figure 1<\/jats:label><jats:caption><jats:p>Clock drawing test results.<\/jats:p><\/jats:caption><jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"emermed-2017-206680f1\" position=\"float\" orientation=\"portrait\"\/><\/jats:fig><\/jats:sec><jats:sec id=\"s2\"><jats:title>Question:<\/jats:title><jats:p>What is the most probable aetiology?<jats:list list-type=\"alpha-upper\"><jats:list-item><jats:p>Right cerebral bleeding involving the occipital lobe<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Right middle cerebral artery occlusion<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Right parietal lesion, likely neoplasm<\/jats:p><\/jats:list-item><jats:list-item><jats:p>Left cortical stroke<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec>","DOI":"10.1136\/emermed-2017-206680","type":"journal-article","created":{"date-parts":[[2018,3,20]],"date-time":"2018-03-20T07:10:10Z","timestamp":1521529810000},"page":"38-39","update-policy":"http:\/\/dx.doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Don\u2019t neglect the clock drawing test"],"prefix":"10.1136","volume":"35","author":[{"given":"Michal","family":"Vinker Shuster","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maayan","family":"Hannah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zalut","family":"Todd","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,12,15]]},"reference":[{"key":"2024052702001056000_35.1.38.1","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1089\/brain.2014.0316","article-title":"Lesion sites associated with allocentric and egocentric visuospatial neglect in acute stroke","volume":"5","author":"Kenzie","year":"2015","journal-title":"Brain Connect"},{"key":"2024052702001056000_35.1.38.2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2010.224261"},{"key":"2024052702001056000_35.1.38.3","first-page":"797","article-title":"Adams and Victor\u2019s Principles of Neurology","volume":"477","author":"Ropper","year":"2014","journal-title":"Tenth edit"}],"container-title":["Emergency Medicine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/emermed-2017-206680","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,27]],"date-time":"2024-05-27T09:00:19Z","timestamp":1716800419000},"score":1,"resource":{"primary":{"URL":"https:\/\/emj.bmj.com\/lookup\/doi\/10.1136\/emermed-2017-206680"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,15]]},"references-count":3,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2017,12,15]]},"published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1136\/emermed-2017-206680"],"URL":"https:\/\/doi.org\/10.1136\/emermed-2017-206680","relation":{},"ISSN":["1472-0205","1472-0213"],"issn-type":[{"value":"1472-0205","type":"print"},{"value":"1472-0213","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,15]]}}}