1st April 2022

A 38-year-old woman presents with progressively worsening bradykinesia, a resting tremor and poor balance

A 38-year-old woman presents with progressively worsening bradykinesia, a resting tremor and poor balance. The doctor recognises that she is displaying symptoms of parkinsonism, of which there are many causes. The woman is worried about having early-onset Parkinson’s disease, as her father and grandmother both had Parkinson’s. However, guidelines suggest that Wilson’s disease should be suspected in someone of her age. What investigation is recommended in all patients under the age of 40 in order to exclude Wilson’s disease?

Select the SINGLE most appropriate option from the list below. Select ONE option only.