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Clock Drawing – Neglect Pattern — SCE Neurology MCQ

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EasyCerebrovascular DiseaseClock Drawing – Neglect PatternSCE Neurology

A 50-year-old man with a right MCA stroke has left hemispatial neglect. When asked to draw a clock face, he draws all the numbers crowded into the right half of the circle. What does this demonstrate?

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Correct answer: D — Left neglect — the patient ignores the left side of space; all numbers are placed on the right half of the clock face, reflecting failure to represent or attend to the left hemispace

Clock drawing in neglect typically shows numbers crowded into the right half of the clock face, with the left half empty. This demonstrates allocentric and/or egocentric neglect of the left side of space. It is a bedside screening test for neglect and is included in the BIT. A: Pathological. C: Visual field cut alone would not distort the spatial representation. D: Apraxia affects motor execution. E: Executive dysfunction causes planning errors but not spatial distortion.

Reference: RCP Stroke Guidelines; BIT