Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
The authors thank Dr Alawami for highlighting this error in the manuscript. The patients mild left arm weakness correlated with a CT scan showing evidence of infarction of the right frontoparietal area.
Thanks for this interesting case. I noted that patient had LEFT upper motor neurone weakness plus infarction in the LEFT frontoparietal lobe. The infarction should be on the contralateral side (RIGHT) to cause LEFT arm weakness. The patient could have shower embolism due to endocarditis but this would result in diffuse neurological signs rather than isolated unilateral arm weakness. I think this should be reviewed.