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Living with Benign familial nocturnal alternating hemiplegia of childhood

A rare childhood nerve condition with night attacks of crying followed by weakness on one or both sides.

Understanding Benign familial nocturnal alternating hemiplegia of childhood

Benign familial nocturnal alternating hemiplegia of childhood is a rare nervous system condition with night attacks followed by one-sided weakness (hemiplegia).

Children have repeated attacks of screaming or crying at night, followed or joined by weakness on one side of the body, or sometimes both. It is not linked to problems with the nervous system or development, but may come with mild behavior differences. It starts in infancy and childhood.

Signs & symptoms

GARD describes these as the main features:

  • Night attacks of screaming or crying
  • Weakness (hemiplegia) on one side of the body
  • Sometimes weakness on both sides
  • Mild behavior differences

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 rare disease patient organizations for support
  • 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
Is genetic testing available to look for the cause?
What should we do when an attack happens?
Which specialist should follow my child's nervous system?

Quick facts

Symptoms usually startInfant and as a Child

GARD says changes in genes cause this condition, but doesn't name a specific gene yet.

GeneticNeurological

Also known as: benign familial nocturnal alternating hemiplegia in childhood; benign nocturnal alternating hemiplegia of childhood

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Benign familial nocturnal alternating hemiplegia of childhoodGARD ID 20445 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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