Beware of Peltzman's Effects After the COVID-19 Vaccine

Tremors are movements such as shaking in one or more parts of the body. Even though it looks mild, tremors cannot be taken lightly because it can be a sign of a serious illness. Know what causes tremors, so that this condition can be anticipated and treated appropriately.

Tremors usually occur because of a disturbance in the part of the brain that controls muscle movement. This condition can be experienced by anyone and can happen repeatedly. However, tremors that repeat with a fairly frequent intensity, you need to be aware of. This is because tremors can be a symptom of certain health problems.

Beware of Peltzman's Effects After the COVID-19 Vaccine

Causes of tremors

It was mentioned earlier that tremors can occur as a result of problems in the areas of the brain that regulate the movement of the muscles of the body. In addition, tremors can also be caused by certain conditions, such as:

  • Stroke
  • Multiple sclerosis
  • Brain injury
  • Liver or kidney failure
  • Diseases related to nerve function, such as Parkinson's disease
  • Hyperthyroid
  • Hypoglycemia

Some types of drugs that are used long-term can also cause this condition. These drugs, including amphetamines, corticosteroids, and drugs for psychiatric disorders. Alcohol abuse, excessive caffeine consumption, and mercury poisoning can also cause tremors.

Multiple Tremors

The following are some types of tremors, which are classified according to their symptoms and causes:

Parkinson's tremors
As the name implies, this type of tremor occurs in people with Parkinson's disease and generally affects those aged 60 years and over. Parkinson's tremors usually start in one leg or part of the body and will spread to other parts of the body.

Essential tremors
Essential tremor is the most common type of tremor. This type of tremor has a relatively slow development and takes up to years until it eventually spreads to other parts of the body.
Previously, essential tremor was thought to be unrelated to any disease or condition. However, several recent studies suggest that these tremors are associated with degeneration of the cerebellum, which is a decrease in the function of the part of the brain that controls movement.
The symptoms of essential tremor can be mild to severe, depending on which part of the body is affected. Symptoms include shaking hands when doing activities, vibrating voice when speaking, and difficulty walking.
These symptoms can get worse when accompanied by stress, fatigue, hunger, excessive caffeine consumption, smoking habits, and extreme temperatures.

Cerebellar tremor
This type of tremor occurs as a result of damage to the cerebellum or cerebellum. This damage can be caused by strokes, tumors, and diseases, such as multiple sclerosis. In addition, cerebellar tremors can also be caused by chronic dependence on alcohol and long-term use of certain drugs.

Dystonic tremors
Dystonic tremor or dystonia is a movement disorder when the muscles contract continuously, causing rotating and repetitive movements. In people with dystonia, tremors can improve with complete rest.

Orthotastic tremors
Orthostatic tremors occur quickly and are characterized by muscle contractions after standing and subside when the person sits or starts walking. Many consider this condition a balance disorder.

Physiological tremors
Physiological tremors are triggered by the body's reaction to the influence of taking certain drugs. This type of tremor is also a symptom of withdrawal from alcohol. Sometimes, low blood sugar and an overactive thyroid gland can also cause this disorder.

Psychogenic tremors
This type of tremor is influenced by psychological conditions. Psychogenic tremors can appear or disappear suddenly and change their location People who experience this type of tremor generally have mental disorders, such as conversion disorder, which is a condition when a person has a physical disorder, but no underlying medical abnormality is found.

Tremor Treatment

Treatment of tremor depends on the underlying cause. For example, tremors due to hyperthyroidism will improve or even disappear after the sufferer undergoes treatment for his thyroid.

The following are some of the options for tremor treatment:

Medicines
There are several types of drugs used to treat tremors, including:

  • Beta blockers, such as propranolol, atenolol and metoprolol
  • Anticonvulsants, such as primidone and gabapentin, are given when beta blockers are not effective at treating tremors
  • Benzodiazepine
  • Parkinson's drugs, such as levodopa and carbidopa
  • Botox injections

Focused ultrasound therapy
This treatment is performed using ultrasound waves guided by MRI imaging results. The goal is to create a lesion in the area of ​​the brain that is thought to be the cause of tremors This method is intended for people with essential tremor that does not respond to medication.

Operation
When the patient's condition does not improve after drug therapy or experiences severe tremors, the doctor will recommend surgical steps, such as brain stimulation therapy (DBS) or a thalamotomy.

If you experience tremors suddenly or your tremors are getting worse and occur frequently, please consult a doctor so that examination and treatment can be carried out according to the cause.

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