Symptoms of Copper deficiency myelopathy

What are the symptoms of Copper deficiency myelopathy? 

Copper deficiency myelopathy usually presents with a progressive gait abnormality due to both dorsal column dysfunction with a sensory level, as well as corticospinal tract dysfunction with spastic para or tetraparesis.

The clinical picture can sometimes be confused from a coexisting sensory neuropathy with decreased distal reflexes.

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