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Living with Hemimegalencephaly

A rare brain condition in which one side of the brain is larger than the other, often with seizures.

Understanding Hemimegalencephaly

Hemimegalencephaly is a rare brain malformation in which one side of the brain is enlarged.

It can occur alone or with other syndromes. Children may have a large, uneven head, seizures, weakness on one side, and delays in learning and development. It begins in infancy. GARD says it involves a disturbance of cells early in development.

Signs & symptoms

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

  • Seizures
  • Delays in development
  • Uneven skull shape
  • Extra folds in the brain (polymicrogyria)
  • Enlarged fluid spaces in the brain
  • Seizures affecting one area of the body

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, genetic specialists, hormone specialists and seizure and epilepsy 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

    Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists); Seizure and epilepsy specialists (epileptologist)
Expert care
Expert lists: Epilepsy 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 Klippel-Trenaunay Support Group 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
Which seizure treatments or specialists should we ask about?
Is this alone, or part of a syndrome that needs checking?
What developmental support is available for my child?

Quick facts

Symptoms usually startInfant

GARD says the cause is not fully understood. It involves a disturbance of cells early in development and likely involves genes that guide patterning and symmetry.

GeneticNeurologicalEndocrine

Also known as: unilateral megalencephaly

Patient organizations

Source: NIH GARD · HemimegalencephalyGARD ID 2637 · 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 Hemimegalencephaly.

Explore the Hemimegalencephaly blog

Explore research for Hemimegalencephaly

Explore actively recruiting Hemimegalencephaly studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Hemimegalencephaly 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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