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Living with Hemiparkinsonism-hemiatrophy syndrome

A rare movement disorder with shrinking of one side of the body and slow, stiff, shaky movement on that side.

Understanding Hemiparkinsonism-hemiatrophy syndrome

Hemiparkinsonism-hemiatrophy syndrome is a rare movement disorder with shrinking of one side of the body and Parkinson-like signs on that side.

Signs build slowly and include slowed movement (bradykinesia), stiffness, and tremor. Many people first have dystonia (muscle contractions causing twisting) in an arm or leg, which can spread to both sides. Curved spine (scoliosis) is often seen. It starts in the teen years or adulthood.

Signs & symptoms

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

  • Shrinking of one side of the body (hemiatrophy)
  • Slow movements (bradykinesia)
  • Tremor
  • Muscle contractions causing twisting (dystonia)
  • Weakness on one side of the body
  • Trouble forming speech (dysarthria)

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

    Parkinson & Movement Disorder Alliance 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: Parkinson & Movement Disorder Alliance
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 Parkinson & Movement Disorder Alliance
  • 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
Could genetic testing help explain my symptoms?
Which treatments exist for tremor and dystonia?
Should I see a movement disorder specialist?

Quick facts

Symptoms usually startTeenager and as an Adult

GARD says changes in genes (also called variants) cause this condition.

GeneticNeurological

Also known as: hemiparkinsonism hemiatrophy syndrome; hp-ha syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hemiparkinsonism-hemiatrophy syndromeGARD ID 21262 · 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 Hemiparkinsonism-hemiatrophy syndrome.

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