| Phenotype details |
onset since 5y ago with unilateral hand tremor, at rest, which extended to whole body; Mild weakness; Dysphagia; Dysarthria; Normal Brain MRI; Low ceruloplasmin & high copper level in the urine, suspicion of Wilson disease; EMG-NCV: moderate neurogenic process involving both upper/lower limb and cranial muscles with signs of old axonal loss probably suggestive of motor neuron disorder |