Tremor causes

Tremor Microchapters
Home
Patient Information
Overview
Historical Perspective
Classification
Pathophysiology
Causes
Differentiating Tremor from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
Diagnostic Study of Choice
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X-ray
Echocardiography and Ultrasound
CT
MRI
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Tremor causes On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Tremor causes All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Tremor causes
CDC on Tremor causes
Tremor causes in the news
Blogs on Tremor causes
Directions to Hospitals Treating Tremor
Risk calculators and risk factors for Tremor causes

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Naresh Mullaguri, M.B.B.S. [2] Kiran Singh, M.D. [3]

Overview

Tremor is generally caused by problems in parts of the brain or spinal cord that control muscles throughout the body or in particular areas, such as the hands. Neurological disorders or conditions that can produce tremor include multiple sclerosis, stroke, traumatic brain injury and neurodegenerative diseases that damage or destroy parts of the brainstem or the cerebellum. Other causes include the use of some drugs (such as amphetamines, caffeine, corticosteroids, and drugs used for certain psychiatric disorders), alcohol abuse or withdrawal, mercury poisoning, overactive thyroid or liver failure. Tremors can be an indication of hypoglycemia, along with palpitations, sweating and anxiety. Tremor can also be caused from lack of sleep, vitamins, or having too much stress. Deficiencies of magnesium and vitamin B1 have also been known to cause tremor or shaking which resolves when the deficiency is corrected. See magnesium in biology. Some forms of tremor are inherited and run in families, while others have no known cause. Tremors can also be caused by some spider bites i.e. the redback spider of Australia.

Tremor can result from other conditions as well. Alcoholism, excessive alcohol consumption, or alcohol withdrawal can kill certain nerve cells, resulting a tremor known as asterixis. Conversely, small amounts of alcohol may help to decrease familial and essential tremor, but the mechanism behind this is unknown. Tremor in peripheral neuropathy may occur when the nerves that supply the body’s muscles are traumatized by injury, disease, abnormality in the central nervous system, or as the result of systemic illnesses. Peripheral neuropathy can affect the whole body or certain areas, such as the hands, and may be progressive. Resulting sensory loss may be seen as a tremor or ataxia (inability to coordinate voluntary muscle movement) of the affected limbs and problems with gait and balance. Clinical characteristics may be similar to those seen in patients with essential tremor.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

• Alcohol withdrawal
• Anxiety
• Caffeine
• Hyperthyroidism
• Hypoglycemia
• Nicotine
• Parkinson's disease

Causes by Organ System

Cardiovascular	Cerebrovascular accident,hypothermia,vitamin b1 deficiency
Chemical / poisoning	3-Aminopyridine, 4-aminopyridine, acetylene dichloride, acidic dry cell batteries , acrylamide, agrocide, agronexit, amidithion, amiton, aparasin, aphtiria, arsenic poisoning, athyl-gusathion, azinfos-methyl, azinfosethyl, azinphos, azinphosmetile, azothoate, ben-hex, benoxafos, benzene hexachloride, bexol, biphenyl, bromide, bromoform, bromophos, bromophos-ethyl, bromophos-ethyl , cadusafos, carbamate insecticide poisoning, carbinoxamine, carbon disulfide, carbon disulfide, carbon tetrachloride, carbophenothion, chlordane, chlordane , chlordecone, chloresene, chlorfenvinphos, chlorfenvinphos, chloromethane, chloropyrifos, chlorpyrifos methyl, cresols, cresols , cresylic acid, cyanthoate, D-phenothrin, DDD, DDT, demeton, demeton-methyl, demeton-o, demeton-S-methylsulphon, dialifos, diazinon, diborane, dichlorvos, dichlorvos , dimethoate, dimethoate, dioxathion, diquat dibromide, disulfiram, disulfiram, disulfoton, endosulfan, endothion, epichlorohydrin, ethion, ethoate-methyl, ethoprophos, ethyl mercaptan, ethyl-guthion, ethyl-guthion , ethylbenzene, ethylene dichloride, etrimfos, etrimfos , fenchlorphos, fenitrothion, fensulfothion, fenthion, fipronil, fluoridated toothpaste, fonophos, formothion, gamma-hcch, gasoline, glaze, glufosinate, glycol ether, glycol ether , heptachlor,heptenophos, hexachlorocyclohexane(gamma), Iodofenphos, lead, lindane, lithium, lithium toxicity, lobelia poisoning, malathion, manganese, mecarbam, mercury poisoning, mescal poisoning, metaldehyde, methacrifos, methamidophos, methidathion, methylene chloride, metiltriazotionmevinphos, monocrotophos, monosodium methyl arsenate, nicotine poisoning, omethoate, organophosphate insecticide poisoning, oxydeprofos, oxydisulfoton,parathion methyl, parathion, parathion , phenkapton, phenol, phorate, phosalone, phosalone , phosmet, phosphamidon, phosphamidon , phosphine, phoxim, phoxim , pirimiphos-methyl, primiphos methyl, prothidathion, prothoate, pyrethrin, pyrimitate, quinalphos, quintiofos, RDX, rotenone, sea hare poisoning, selenium poisoning, sophamide, sulfite , sulfotep, sulfuryl fluoride, terbufos, tetrachloroethane, thallium, thallium sulfate, thiometon, tolclofos methyl, toxaphene, triazophos, triazotion, trichloroethylene, trifenfos, tubatoxin poisoning, vamidothion, Xylene
Dermatologic	Chediak-Higashi disease
Drug Side Effect	Amiodarone, amphetamine, artemether and lumefantrin, black cohosh, butorphanol, cidofovir, clozapine, corticosteroids,caspofungin acetate, cyclosporin, cytomegalovirus immune globulin, dexedrine overdose, dimercaprol, disulfiram, dobutamine, dopamine, dopexamine, efavirenz, ephedrine, epinephrine, eslicarbazepine acetate, febuxostat, fluvoxamine, glipizide, glycerol phenylbutyrate,haloperidol, Isoprenaline, Isoproterenol (aerosol), Ivermectin, lenalidomide, levalbuterol, levodopa, lidocaine, lidocaine, loxapine, margosa oil, metaraminol, methoxamine, miglustat, nabilone, nalmefene, norepinephrine, orphenadrine, oxaprozin, oxcarbazepine, paroxetine, pentamidine Isethionate, peppermint oil, phentermine, phenylephrine, pilocarpine, pirbuterol, ramucirumab, reproterol, rifaximin, rizatriptan, salbutamol, sodium oxybate, sodium valproate, tacrolimus, terbutaline, thalidomide, thallous Chloride Tl 201, theophylline, tricyclic antidepressants, trifluperidol, valganciclovir hydrochloride, valproic acid, venlafaxine, vilazodone, xamoterol
Ear Nose Throat	Cockayne syndrome, spastic paraparesis deafness, wolfram syndrome,
Endocrine	Adrenal adenoma, adrenal gland hyperfunction, adrenal incidentaloma, adrenal medulla neoplasm, adrenal tumor, diabetes insipidus, diabetes mellitus, fatigue, high t4 syndrome, hyperadrenalism, hyperthyroidism, hypoglycaemia, hypomagnesemia, Kennedy's disease, pheochromocytoma, pituitary tumor adult, thyrotoxicosis, toxic multinodular goiter, Wolfram syndrome
Environmental	Hypothermia, minamata disease,
Gastroenterologic	Cirrhosis of liver, hepatic failure, hepatocerebral degeneration, liver failure, vitamin b1 deficiency, wilson's disease
Genetic	Amish nemaline myopathy, aniridia cerebellar ataxia mental deficiency, basal ganglia calcification,idiopathic, ceroid lipofuscinosis, neuronal 6, late infantile, Chediak-Higashi disease, Chromosome 20p,partial duplication, Cockayne syndrome, fatal familial insomnia, Friedreich ataxia, fucosidosis, holocarboxylase synthetase deficiency, Huntington's disease, Kennedy's disease, Krabbe leukodystrophy, mental retardation, X-linked, metachromatic leukodystrophy, methylmalonic acidemia, neuronal intranuclear inclusion disease, normokalemic periodic paralysis, Purine nucleoside phosphorylase deficiency, Roussy–Lévy syndrome, Wolfram syndrome
Hematologic	Chediak-Higashi syndrome
Iatrogenic	Neuroleptic malignant syndrome, Serotonin Syndrome, Ureterosigmoidostomy
Infectious Disease	Central nervous system protozoal infections, Creutzfeldt-Jakob disease, fever, meningoencephalitis, neurosyphilis, sleeping sickness (East African), sleeping sickness (West African), toxoplasmosis
Musculoskeletal / Ortho	Amish nemaline myopathy myopathy,muscle fatigue
Neurologic	Alcoholic cerebellar degeneration, Alzheimer's disease, amish nemaline myopathy, Amyloidosis, oculoleptomeningeal, aniridia cerebellar ataxia mental deficiency, Basal ganglia calcification,idiopathic , Bovine spongiform encephalopathy, brain fag syndrome Central nervous system protozoal infections, Cerebellar degeneration, Cerebellar disease, Cerebrovascular accident, Ceroid lipofuscinosis, neuronal 6, late infantile, Cockayne syndrome, Creutzfeldt-Jakob disease, dementia with lewy bodies, Demyelinating disease, Diencephalic syndrome, drug-induced parkinsonism, Dystonia, fatal familial insomnia, Friedreich ataxia, frontotemporal dementia, hepatocerebral degeneration, hereditary neuropathies, heredodegenerative diseases of the cerebellum, Huntington's disease, Kennedy's disease, Krabbe leukodystrophy, Leukoencephalopathy, Lhermitte-mcalpine syndrome, Meningoencephalitis, Metabolic encephalopathy, Metachromatic leukodystrophy, midbrain stroke, midbrain trauma, Minamata disease, motor and cognitive disorder, multiple sclerosis, multiple system atrophy, Multiple system atrophy syndromes, muscle fatigue, myoclonic epilepsy benign,, neuroleptic malignant syndrome, neuronal intranuclear inclusion disease, non-wilsonian hepatocerebral degeneration, , olivopontocerebellar atrophy, olivopontocerebellar syndrome, Oppenheim's dystonia, pallidopyramidal syndrome, Parkinson disease, Parkinsonian syndromes, pelizaeus-merzbacher brain sclerosis, peripheral neuropathy, Pick's disease of the brain, Psychogenic movement disorders, Ramsay-Hunt syndrome, Roussy–Lévy syndrome, Shy-Drager Syndrome, sleeping sickness (east african), spastic paraparesis deafness, spinocerebellar ataxia, stroke, Wilson's disease
Nutritional / Metabolic	Arginase deficiency, ceroid lipofuscinosis, neuronal 6, late infantile, food additives, fucosidosis, holocarboxylase synthetase deficiency, hypoglycaemia, hypomagnesemia, Krabbe leukodystrophy, metachromatic leukodystrophy, methylmalonic acidemia, mucolipidosis type 1, purine nucleoside phosphorylase deficiency, sialidosis, vitamin b1 deficiency, Wilson's disease, xanthines
Obstetric/Gynecologic	No underlying causes
Oncologic	Adrenal adenoma, adrenal incidentaloma, adrenal medulla neoplasm, adrenal tumor, fatigue, pheochromocytoma, pituitary tumors
Opthalmologic	aniridia cerebellar ataxia mental deficiency, optic atrophy
Overdose / Toxicity	Alcohol intoxication, alcohol withdrawal syndrome amphetamine abuse, Black cohosh overdose, caffeine overdose, dexedrine overdose, discontinuation syndrome, drug withdrawal, Indian tobacco poisoning, lithium toxicity, margosa oil overdose, methamphetamine overdose, opioid withdrawal, peppermint oil overdose
Psychiatric	Hysteria, Anxiety, Psychogenic movement disorders
Pulmonary	Respiratory failure
Renal / Electrolyte	Hypoglycemia, Hypomagnesemia, Normokalemic periodic paralysis
Rheum / Immune / Allergy	No underlying causes
Sexual	No underlying causes
Trauma	No underlying causes
Urologic	No underlying causes
Dental	No underlying causes
Miscellaneous	Shy-Drager syndrome, Senile, Roussy-Levy syndrome, Salvioli syndrome, Wolfram syndrome, Primary orthostatic tremor, Physiologic tremor, Lindsay-Burn syndrome, Lhermitte-McAlpine syndrome, Kennedy's disease, Hypothermia, Da Costa's syndrome, Combarros Calleja Leno syndrome, Cockayne syndrome

Causes in Alphabetical Order

The unnamed parameter 2= is no longer supported. Please see the documentation for {{columns-list}}.

3