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Living with Alternating hemiplegia of childhood

A neurological condition with repeated episodes of temporary paralysis, often on one side of the body, starting in infancy or early childhood.

Understanding Alternating hemiplegia of childhood

Alternating hemiplegia of childhood is a neurological condition with repeated episodes of temporary paralysis, often on one side of the body.

Episodes usually begin before 18 months of age and last from minutes to days. The paralysis may switch sides or affect both sides. People can also have sudden attacks of uncontrollable muscle activity, such as involuntary limb movements, muscle tensing, eye movements, or shortness of breath. Sudden skin flushing or paleness can also occur. Triggers can include stress, extreme tiredness, cold temperatures, or bathing.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Temporary paralysis, often on one side
  • Unusual eye movements
  • Trouble with balance and coordination (ataxia)
  • Constipation
  • Loss of appetite
  • Behavior changes

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Alternating Hemiplegia of Childhood Foundation (AHCF)
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What are my child's triggers, and how can we avoid them?
What should we do during an episode?
Is genetic testing available for our family?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

GARD lists autosomal dominant inheritance, so a changed copy of a gene from one parent can be enough. It doesn't name a gene on this page.

GeneticNeurological

Also known as: adrenal hypoplasia congenita; ahc; alternating hemiplegia syndrome; childhood alternating hemiplegia; congenital adrenal gland hypoplasia; congenital adrenal hypoplasia

Patient organizations

Source: NIH GARD · Alternating hemiplegia of childhoodGARD ID 11 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Alternating hemiplegia of childhood.

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