What is it?

Hemiplegic migraine is a rare type of migraine which is characterized by weakness or even paralysis on one side of the body. It is more common in people who have migraines with aura. There are two types of hemiplegic migraine- the familiar type, which affects at least two close relatives and the sporadic type. Common triggers include stress, bright lights, intense emotions and too little or too much sleep.

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Signs & symptoms

Before or during a migraine episode aura symptoms may appear such as flashes of light, and zigzag patterns. During the migraine, intense headache, nausea and photosensitivity may appear, along with weakness, numbness and tingling in one side of the body.


Diagnosis is based upon findings from medical history and physical examination. Further evaluation may include EEG which records brain electrical activity and imaging of the brain such as CT scan or MRI.


Treatment includes pain relievers, and triptans during an episode. In between episodes preventive medications include beta blockers, botox, CGRP antagonists, anticonvulsants, calcium channel blocker and antidepressants.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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