Tremor causes

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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 an unintentional trembling or shaking movements in one or more parts of the body. It can be a symptom of neurological disorder or a side effect of certain drugs but commonly it occurs in otherwise healthy people. The most common causes of tremor are anxiety, hyperthyroidism, hypoglycemia, and alcohol withdrawal.

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

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, metaldehyde, methacrifos, methamidophos, methidathion, methylene chloride, metiltriazotion, mevinphos, 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, muscle fatigue, myoclonic epilepsy benign,, neuroleptic malignant syndrome, neuronal intranuclear inclusion disease, olivopontocerebellar atrophy, Oppenheim's dystonia, pallidopyramidal syndrome, Parkinson disease, 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 Anxiety, brain fag syndrome, Da Costa's syndrome, Dementia with Lewy bodies, fatal familial insomnia, fatigue, frontotemporal dementia, hysteria, Lindsay-burn syndrome, stress
Pulmonary Respiratory failure
Renal / Electrolyte Hypomagnesemia, normokalemic periodic paralysis
Rheum / Immune / Allergy Purine nucleoside phosphorylase deficiency
Sexual No underlying causes
Trauma No underlying causes
Urologic Lindsay-burn syndrome
Dental No underlying causes
Miscellaneous Senile, Salvioli syndrome, Combarros Calleja Leno syndrome

Causes in Alphabetical Order

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References

  1. Chemaly RE, Moussalli AS (2012). "Parkinsonian syndrome as a complication of systemic lupus erythematosus. Report of a case and review of the literature". J Med Liban. 60 (2): 103–5. PMID 22919866.