MRCP2-2174
A 19-year-old woman who works as a teaching assistant in a nursery has been experiencing shaking in her right arm when writing on the blackboard and has been dropping cups of tea due to shaking. She has also noticed poor balance and falls easily when playing with the children. These symptoms have developed gradually over the course of 15 months. During her neurological examination, a postural tremor of the upper limbs was observed, with the right side being worse than the left. Additionally, she has a broad-based ataxic gait and some rigidity in her right upper limb. The slit lamp examination revealed brown-green deposits in Descemet’s membrane of the cornea. The rest of the clinical examination was unremarkable. What is the most appropriate treatment for the underlying condition?