PT - JOURNAL ARTICLE AU - Michal Vinker Shuster AU - Maayan Hannah AU - Zalut Todd TI - Don’t neglect the clock drawing test AID - 10.1136/emermed-2017-206680 DP - 2018 Jan 01 TA - Emergency Medicine Journal PG - 38--39 VI - 35 IP - 1 4099 - http://emj.bmj.com/content/35/1/38.short 4100 - http://emj.bmj.com/content/35/1/38.full SO - Emerg Med J2018 Jan 01; 35 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).Figure 1 Clock 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 strokeQuestion: