Acta Neurol Belg (2017) 117:781–782 DOI 10.1007/s13760-016-0737-8 LETTER TO THE EDITOR 1 2 2 3 • • • • Ayoub Innabi Kaustubh Limaye Sarah Cobb Rohan Samant Tuhin Virmani Received: 26 September 2016 / Accepted: 8 December 2016 / Published online: 24 December 2016 Belgian Neurological Society 2016 To the Editor, Lower extremity tone was mildly spastic sensation was Copper is an essential trace element in key metalloenzymes diminished to pin prick to the mid ankles, vibration sen- that have an important role in the structure and function of sation was absent to the knees bilaterally and propriocep- the nervous system . Copper deﬁciency is rare due to its tion was impaired in the bilateral big toes. Her left toe was ubiquitous distribution and low dietary requirements. It can extensor on plantar testing. She had mild dysmetria on result from gastrointestinal surgery, zinc excess, malab- ﬁnger nose ﬁnger and mild truncal titubation. Gait was sorption syndromes and parenteral nutrition. Copper deﬁ- wide based and ataxic. ciency causes an ataxic myelopathy in ruminant animals Laboratories at presentation included normal complete but in 2001 a relationship to myelopathy in humans was blood count, electrolytes, liver function test. vitamin B12 described [1,
Acta Neurologica Belgica – Springer Journals
Published: Dec 24, 2016
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