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Living with Familial or sporadic hemiplegic migraine

A rare type of migraine with aura and temporary weakness on one side of the body, which may run in families.

Understanding Familial or sporadic hemiplegic migraine

Familial or sporadic hemiplegic migraine is a rare type of migraine with aura (warning signs) that comes with weakness during the aura.

It is called familial if another family member has it and sporadic if none does. Symptoms vary and may include vision changes, loss of feeling, trouble speaking, weakness on one side, and confusion. Severe attacks can bring long-lasting weakness on one side, coma, fever, or seizures. It often starts in childhood.

Signs & symptoms

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

  • Confusion
  • Trouble speaking clearly (dysarthria)
  • Double vision (diplopia)
  • Dizziness or spinning (vertigo)
  • Poor balance
  • Seizures

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.

  4. Connect with expert centers

    American Migraine Foundation and National Headache Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists)
Expert care
Expert lists: American Migraine Foundation, National Headache Foundation
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 American Migraine Foundation and other patient organizations
  • 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
Should I have genetic testing for hemiplegic migraine?
What should I do during an attack with weakness or confusion?
Which treatments or specialists can help prevent attacks?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant

The familial form can be caused by a genetic change in any of several genes and is autosomal dominant. The cause of the sporadic form isn't described in GARD.

GeneticNeurological

Also known as: hemiplegic migraine

Patient organizations

Source: NIH GARD · Familial or sporadic hemiplegic migraineGARD ID 10768 · 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 Familial or sporadic hemiplegic migraine.

Explore the Familial or sporadic hemiplegic migraine blog

Explore research for Familial or sporadic hemiplegic migraine

Explore actively recruiting Familial or sporadic hemiplegic migraine studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Familial or sporadic hemiplegic migraine with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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