A moment when the wrong word could cause a lot of trouble.
"One parent may have to take time off from work to stay home with him, and that can cause a lot of problems."
My next point may cause a lot of trouble for some who have been with me up to now.
They cause a lot of damage to anything in the path.
And once in, they can cause a lot of damage.
And he was going to cause a lot of problems for a particular government some forty years down the line.
Your grandfather could cause a lot of trouble, you know.
He would not want to cause a lot of trouble.
This might cause a lot of problems in the future because they can be lost forever.
And enough to cause a lot of damage even to Russia!