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A copper deficiency myeloneuropathy was diagnosed secondary to chronic use of a zinc-containing dental fixative paste. The paste was discontinued and a copper supplementation was started. Resolution of symptoms was not achieved with intensive physiotherapy. The patient remains a wheelchair user though progression of symptoms has halted. Prompt recognition and treatment of hyperzincaemia-induced hypocupraemia earlier in the disease course may have prevented any irreversible neurological deficit.<\/jats:p>","DOI":"10.1136\/bcr-2017-219802","type":"journal-article","created":{"date-parts":[[2017,8,8]],"date-time":"2017-08-08T12:10:17Z","timestamp":1502194217000},"page":"bcr-2017-219802","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Zinc containing dental fixative causing copper deficiency myelopathy"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8417-9236","authenticated-orcid":false,"given":"Liam Stuart","family":"Carroll","sequence":"first","affiliation":[{"name":"Department of Neurology, Institute of Neurological Sciences, Queen Elizabeth University Hospital, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azmil 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