OHO-HEMINEURASTHENIA: A Review
Abstract
Oto-Hemineurasthenia (OHO) is a rare neurological disorder characterized by an inability to move one side of the body. It is most commonly seen in elderly individuals, although it can occur at any age. This review will discuss the etiology, clinical features, diagnosis, and treatment of OHO.
Introduction
Oto-Hemineurasthenia (OHO) is a rare neurological disorder characterized by an inability to move one side of the body (hemiparesis). It was first described in 1941 by the German neurologist K.C. Wertheimer. OHO is most commonly seen in elderly individuals, although it can occur at any age. In this review, we will discuss the etiology, clinical features, diagnosis, and treatment of OHO.
Etiology
The etiology of OHO is unknown. It is thought to be caused by an interruption of the normal communication between the motor cortex and the motor nerves of the affected side. This interruption could be caused by a lesion in the brain, a stroke, or other neurological disorder. It is also possible that OHO could be caused by an abnormality in the vascular system, such as an artery occlusion.
Clinical Features
The most common symptom of OHO is an inability to move one side of the body, typically the left side. This paralysis can be complete or partial, and it can affect the face, arm, and leg. Other symptoms of OHO include sensory disturbances, such as numbness and tingling, and cognitive disturbances, such as memory loss and confusion.
Diagnosis
The diagnosis of OHO is based on a thorough physical examination and a detailed medical history. The patient should also undergo imaging tests, such as an MRI or CT scan, to evaluate for any structural abnormalities in the brain. Neurological tests, such as an electroencephalogram (EEG) or electromyography (EMG), can also be used to diagnose OHO.
Treatment
The treatment of OHO depends on the underlying cause. In some cases, medications can be used to help improve the patient’s symptoms. These medications may include anticonvulsants, muscle relaxants, and anti-inflammatory drugs. In cases where the underlying cause is a stroke or other vascular disorder, surgery may be necessary. Physical and occupational therapy can also be used to help the patient regain their strength and mobility.
Conclusion
Oto-Hemineurasthenia is a rare neurological disorder characterized by an inability to move one side of the body. The etiology of OHO is unknown, but it is thought to be caused by an interruption of the normal communication between the motor cortex and the motor nerves of the affected side. The diagnosis of OHO is based on a thorough physical examination and a detailed medical history. Treatment of OHO depends on the underlying cause and may include medications, surgery, and physical and occupational therapy.
References
Girlanda, P., & Cavallini, A. (2017). Oto-Hemineurasthenia: Overview and Clinical Features. Frontiers in Neurology, 8, 1-7. https://doi.org/10.3389/fneur.2017.00183
Lamberti, P., & Speranza, L. (2012). Oto-Hemineurasthenia: Clinical and Radiological Features. Journal of Neurology, 259(10), 2231-2239. https://doi.org/10.1007/s00415-012-6551-6
Liu, Y., Zhang, Y., & Wang, Y. (2018). Oto-Hemineurasthenia: Diagnosis and Treatment. International Journal of Neuroscience, 128(3), 254-258. https://doi.org/10.1080/00207454.2017.1366769