title: Tremor secondary to neurotoxic exposure: mercury, lead, solvents, pesticides.
abstract: Lead, mercury, solvents, and pesticide exposures are common in certain occupations and may cause nervous system dysfunction. Tremors may be the herald manifestation among a constellation of acute toxicity signs and symptoms. However, since tremors may also be the only sign on clinical presentation and since tremors also occur in other diseases, relating tremors to a specific occupational exposure can be challenging. Diagnosis of tremor etiology must be based on other findings on physical exam, laboratory results, and/or imaging. Discerning whether the tremor resulted from the occupational environment versus other etiologies requires knowledge of potential exposure sources, additional detail in history taking, and support of other health and industrial professionals. Reduction or removal from the exposure source remains the key first step in treating patients suffering from tremor that had resulted from occupational exposure toxicity.
authors.affiliation: Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Unit of Occupational Medicine, Department of Medical Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy. Electronic address: roberto.lucchini@mssm.edu.
authors.forename: Roberto G
authors.initials: RG
authors.lastname: Lucchini
authors.affiliation: Department of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Dana
authors.initials: D
authors.lastname: Hashim
mesh_terms: D006801:Humans; D008628:Mercury; D020258:Neurotoxicity Syndromes / Q000150:complications* / Q000209:etiology*; D009784:Occupational Diseases / Q000139:chemically induced / Q000150:complications; D010575:Pesticides; D012997:Solvents; D014202:Tremor / Q000139:chemically induced*
chemical_list: D010575:Pesticides; D012997:Solvents; D008628:Mercury
keywords: lead; mercury; neurtoxicity; occupational medicine; pesticides; solvents; tremor