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.vn-container{-webkit-box-align:center;-ms-flex-align:center;align-items:center;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;height:3rem;margin:0 auto;max-width:77.5rem;z-index:1}@media(min-width:64.0625rem){.vn-wrapper .vn-container{height:4.6875rem}}.vn-wrapper .vn-container.lite{max-width:100%}@media(min-width:64.0625rem){.vn-wrapper .vn-container.lite{height:3.5rem}}.vn-wrapper .vn-menu-btn{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#fff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;height:100%;line-height:1;padding:0}.vn-wrapper .vn-menu-btn:not(.lite){margin-right:1.166875rem}@media(min-width:64.0625rem){.vn-wrapper .vn-menu-btn:not(.lite){margin-right:0}}.vn-wrapper .vn-menu-btn i{font-size:2.25rem;width:2.25rem;overflow:hidden}.vn-wrapper .vn-menu-btn svg{fill:currentColor;pointer-events:none}.vn-wrapper .vn-menu-btn.vn-search i{font-size:1.875rem;width:1.875rem}.vn-wrapper .vn-menu-btn.vn-search:not(.lite){margin-right:0}@media(min-width:64.0625rem){.vn-wrapper .vn-menu-btn.vn-search:not(.lite) i{font-size:1.625rem;width:1.625rem}}.vn-wrapper .vn-menu-btn.vn-search.lite i{font-size:2rem;width:2rem}.vn-wrapper .vn-logo-container{-webkit-box-align:center;-ms-flex-align:center;align-items:center;display:-webkit-box;display:-ms-flexbox;display:flex}.vn-wrapper .vn-logo-container .vn-logo-div{height:.9375rem;margin:0 .625rem}@media(min-width:64.0625rem){.vn-wrapper .vn-logo-container .vn-logo-div{height:1.5625rem;margin:0 1.25rem}}.vn-wrapper .vn-logo-container .vn-logo,.vn-wrapper .vn-logo-container .vn-prog-logo{line-height:1}.vn-wrapper .vn-logo-container .vn-logo img,.vn-wrapper .vn-logo-container .vn-prog-logo img{display:block;height:1.3125rem}@media(min-width:64.0625rem){.vn-wrapper .vn-logo-container .vn-logo img,.vn-wrapper .vn-logo-container .vn-prog-logo 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i{font-size:.625rem;margin-left:.3125rem;-webkit-transition:transform .3s ease;transition:transform .3s ease}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:hover>a{background:#fff;color:#00157c}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:hover>a i{-webkit-transform:rotate(180deg);transform:rotate(180deg)}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:hover .vn-menu-section{left:0;opacity:1;visibility:visible}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:focus-visible>a,.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:has(:focus-visible)>a{background:#fff;color:#1b1b1b}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:focus-visible>a i,.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:has(:focus-visible)>a i{-webkit-transform:rotateX(180deg);transform:rotateX(180deg)}.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:focus-visible .vn-menu-section,.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:has(:focus-visible) .vn-menu-section{left:0;opacity:1;visibility:visible}}@media(min-width:81.25rem){.vn-wrapper .vn-links .vn-links-list:not(.lite)>li:not(:nth-child(7)){margin-right:1rem}}.vn-wrapper .vn-links .vn-menu-section{background:#f9f9fc;height:calc(100vh - 3rem);right:-140vw;overflow:auto;padding:0 1.5rem 6.25rem 1.5rem;position:fixed;top:3rem;-webkit-transition:all .5s ease;transition:all .5s ease;width:100%;z-index:10}.vn-wrapper .vn-links .vn-menu-section.lite{height:calc(100vh - 3.5rem);top:3.5rem}@media(min-width:37.5rem){.vn-wrapper .vn-links .vn-menu-section{max-width:25rem;left:-140vw;right:auto}.vn-wrapper .vn-links .vn-menu-section.open{left:0;right:auto}}.vn-wrapper .vn-links .vn-menu-section.open{right:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header{-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-bottom:1px solid #c6cedb;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:justify;-ms-flex-pack:justify;justify-content:space-between;padding:.75rem 0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header .nav-title{color:#1b1b1b;font-size:1.25rem;line-height:1;margin:0}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a{color:#3557ff;font-weight:400;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section .vn-menu-section-header a img{margin-right:.5rem;width:.8125rem}.vn-wrapper .vn-links .vn-menu-section ul{margin:.75rem 0;list-style:none;padding:0}.vn-wrapper .vn-links .vn-menu-section ul li{font-size:1.125rem;font-weight:400}.vn-wrapper .vn-links .vn-menu-section ul li a{color:#1b1b1b;display:block;padding:.75rem 0;text-decoration:none}.vn-wrapper .vn-links .vn-menu-section ul li a:hover{color:#3557ff}.vn-wrapper .vn-links .vn-menu-section ul li hr{border:1px solid #c6cedb}@media(min-width:64.0625rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite){background:#fff;border-radius:0 0 5px 5px;border-top:0;left:-20px;margin-left:-3.75rem;max-width:none;height:auto;opacity:0;padding:1.875rem 2.875rem;position:absolute;top:4.6875rem;width:18.75rem;visibility:hidden}.vn-wrapper .vn-links .vn-menu-section:not(.lite) hr{display:none}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul{margin:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li{border-bottom:1px solid #c6cedb}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li:last-of-type{border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a{-webkit-box-align:baseline;-ms-flex-align:baseline;align-items:baseline;color:#3557ff;display:-webkit-box;display:-ms-flexbox;display:flex;-webkit-box-pack:start;-ms-flex-pack:start;justify-content:flex-start}.vn-wrapper .vn-links .vn-menu-section:not(.lite) ul li.vn-see-all a img{height:.75rem;margin-right:.5rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{width:60.9375rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul{-webkit-columns:4;-moz-columns:4;columns:4;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(7),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(14),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1 ul li:nth-child(21){border-bottom:0}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3{width:35rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul{-webkit-columns:2;-moz-columns:2;columns:2;-webkit-column-gap:2.875rem;-moz-column-gap:2.875rem;column-gap:2.875rem}.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(8),.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-3 ul li:nth-child(16){border-bottom:0}}@media(min-width:64.0625rem)and (max-width:81.25rem){.vn-wrapper .vn-links .vn-menu-section:not(.lite).hdr-site-1{margin-left:-8.75rem}}.vn-wrapper .vn-links .vn-back{-webkit-box-align:center;-ms-flex-align:center;align-items:center;background:none;border:0;color:#3557ff;cursor:pointer;display:-webkit-box;display:-ms-flexbox;display:flex;padding:1rem 0}.vn-wrapper .vn-links .vn-back i{font-size:.75rem;margin-right:.3125rem}.vn-wrapper .vn-links .vn-actions{margin-top:1rem}@media(min-width:64.0625rem){.vn-wrapper .vn-links .vn-actions:not(.lite){-webkit-box-align:center;-ms-flex-align:center;align-items:center;border-left:1px solid #cccce7;display:-webkit-box;display:-ms-flexbox;display:flex;margin:1.1875rem 0;padding-left:1.25rem}}@media(min-width:64.0625rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe{border-left:none}}.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:.9375rem}@media(min-width:64.0625rem){.vn-wrapper .vn-links .vn-actions:not(.lite).no-subscribe .vn-signin{padding-left:0}}.vn-wrapper .vn-links 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type="application/ld+json">{"@context":"https://schema.org/","@type":"MedicalWebPage","mainEntityOfPage":"https://www.webmd.com/migraines-headaches/hemiplegic-migraine-headaches-symptoms-causes-treatments","lastReviewed":"01/04/2023 01:00:00","reviewedBy":{"@type":"Person","name":"Carmelita Swiner, MD"},"about":"Migraines","datePublished":"10/30/2008 20:00:00","headline":"Hemiplegic Migraine Headaches","author":{"@type":"Person","name":"Rebecca Buffum Taylor"},"dateModified":"01/04/2023 01:00:00","publisher":{"@type":"Organization","name":"WebMD","logo":{"@type":"ImageObject","url":"https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/logos/webmd/web/webmd_logo_53x12.gif"}}}</script><div class="inner-article-container"><header><h1>Hemiplegic Migraine Headaches</h1></header><div class="med-wrap"><div><div class="asset-med-rev"><div class="reviewer-info" data-chronicle="091e9c5e81e52377" data-e2e="asset-medical-review" data-metrics-module="rvdby-lnk"><span class="reviewer-photo-cont"><figure><img src="https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/articles/biographies/swiner_nicole_382x382.jpg?resize=51px:51px&output-quality=75" class="reviewer-photo"></figure></span><span class="reviewer-txt seperatorLine">Medically Reviewed by <a class="person" href="https://www.webmd.com/bio/carmelita-swiner" data-metrics-link="0">Carmelita Swiner, MD</a><span class="no-link"></span><span class="revDate"> on January 04, 2023</span></span></div><div class="byline"><span><span class="authors" data-metrics-module="wrtnby-lnk">Written by <a href="https://www.webmd.com/bio/rebecca-buffum-taylor" class="person" data-metrics-link="0">Rebecca Buffum Taylor</a></span></span></div></div></div></div><aside class="oncology-article-nav" data-metrics-module="cwnav-art"><ul class="nav-items desktop"><li><a href="#091e9c5e80289141-1-1">What Is a Hemiplegic Migraine?</a></li><li><a href="#091e9c5e80289141-1-2">Hemiplegic Migraine Symptoms</a></li><li><a href="#091e9c5e80289141-1-3">Hemiplegic Migraine vs. Stroke</a></li><li><a href="#091e9c5e80289141-2-5">Hemiplegic Migraines Causes</a><div class="item-button"><a href="#"></a></div></li><li><a href="#091e9c5e80289141-2-6">Tests to Diagnose Hemiplegic Migraines</a></li><li><a href="#091e9c5e80289141-2-7">Hemiplegic Migraine Treatment</a></li><li class="item-button"></li></ul></aside><div class="reading-wrapper"><div class="readtime"><span>4 min read</span></div><div id="audio-placeholder-091e9c5e80289141"></div></div><div class="article__body" data-metrics-module="embd-lnk"><div class="article-page active-page" data-page="1"><section><h2 class="jumplink-headers" id="091e9c5e80289141-1-1">What Is a Hemiplegic Migraine?</h2><p><span lang="EN">Hemiplegic migraine is a rare and serious type of migraine headache. Many of its symptoms mimic those common to stroke. For example, muscle weakness can be so extreme that it causes a temporary paralysis on one side of your body, which doctors call hemiplegia.</span></p><div id="art-091e9c5e80289141-em-image-1" class="em-mod-image" ref="art-091e9c5e80289141-em-image-1"> <aside data-e2e="ia-image" align="middle" class="ia-module-container ia-image landscape " data-metric-module="ia-img-soc"> <figure> <div class="main"> <img src="https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/articles/health_tools/bouncing_back_after_a_migraine_slideshow/1800ss_getty_rf_doctor_patient_consultation.jpg?resize=750px:*&output-quality=75" alt="photo of doctor patient consultation"/> </div> <figcaption> <div><h3> </h3></div> <p class="module_description" > Hemiplegic migraines can cause temporary paralysis on one side of the body. </p> </figcaption> </figure> </aside> </div></section><section><h2 class="jumplink-headers" id="091e9c5e80289141-1-2">Hemiplegic Migraine Symptoms</h2><p><span lang="EN">You may have early symptoms before the actual headache pain. Early symptoms called </span>auras<a id="9572ca61-77f2-4076-a64e-ce77b09258e8;medical_reference" href="https://www.webmd.com/migraines-headaches/what-is-a-migraine-with-aura"></a><span lang="EN">may cause:</span></p><ul><li><span lang="EN">Short-term trouble with muscle control and sensation</span></li><li><span lang="EN">Severe, throbbing pain, often on one side of your head</span></li><li><span lang="EN">A pins-and-needles feeling, often moving from your hand up your arm</span></li><li><span lang="EN">Numbness on one side of your body, which can include your arm, leg, and half of your face</span></li><li><span lang="EN">Weakness or paralysis on one side of your body</span></li><li><span lang="EN">Loss of balance and coordination</span></li><li><span lang="EN">Dizziness or vertigo</span></li><li><span lang="EN">Nausea and vomiting</span></li></ul><p><span lang="EN">Other </span><a href="https://www.webmd.com/migraines-headaches/what-is-a-migraine-with-aura" id="9572ca61-77f2-4076-a64e-ce77b09258e8;medical_reference">aura symptoms</a><span lang="EN"> may include:</span></p><ul><li><span lang="EN">Seeing zigzag lines, double vision, or blind spots</span></li><li><span lang="EN">Extreme sensitivity to light, sound, and smell</span></li><li><span lang="EN">Language difficulties, such as mixing words or trouble remembering a word</span></li><li><span lang="EN">Slurred speech</span></li><li><span lang="EN">Confusion</span></li><li><span lang="EN">Drowsiness or loss of consciousness</span></li></ul><p><span lang="EN">Auras usually come on gradually over a half-hour, and then can last for hours and then slowly resolve. They can be more severe and last longer than with other types of migraine.</span></p></section><section><h2 class="jumplink-headers" id="091e9c5e80289141-1-3">Hemiplegic Migraine vs. Stroke</h2><p><span lang="EN">You have a terrible headache. How do you know the cause? The short answer is: You don’t. Some of the symptoms of a migraine can be very much like those of a stroke.</span></p><p><span lang="EN">If you think there's even the slightest chance you're having a </span><a href="https://www.webmd.com/stroke/understanding-stroke-symptoms" id="5c7672ec-6199-4f06-96e2-21031e00e5b7;medical_reference">stroke</a><span lang="EN">, call 911 right away. Early treatment can limit the damage to your brain and possibly save your life.</span></p><p><span lang="EN">If you're over 40 and have never had a migraine, assume your pain is something more serious, especially if you notice stroke symptoms like paralysis or slurred speech. People who get migraines typically have it most of their lives. It's rare to have your first symptoms when you're older.</span></p><p><span lang="EN">The stroke-like symptoms of hemiplegic migraine can range from worrisome to disabling. Unlike stroke symptoms, they come on slowly and build and then may completely go away. Muscle problems usually go away within 24 hours, but they may last a few days.</span></p></section></div><div class="article-page " data-page="2"><section> <p><span lang="EN">There's not a predictable pattern with this type of migraine. Usually, pain follows the paralysis, but it might come before, or you might not get a headache at all. You may hurt a lot and feel only a little weak; then the next attack might bring severe paralysis without much pain.</span></p><p><span lang="EN">It's uncommon, but over time, some people can have long-lasting trouble with movement and coordination.</span></p><p><a href="https://www.webmd.com/migraines-headaches/hemiplegic-migraine-headaches-symptoms-causes-treatments" id="c6cdcb80-7fd8-43e9-a473-4158ce3368be;medical_reference">Hemiplegic migraine</a><span lang="EN"> symptoms often start when you're a child or teen. Sometimes, they'll disappear when you're an adult.</span></p></section><section><h2 class="jumplink-headers" id="091e9c5e80289141-2-5">Hemiplegic Migraines Causes</h2><p><span lang="EN">So far, researchers have found four genes linked with hemiplegic migraine:</span></p><ul><li><span lang="EN">CACNA1A</span></li><li><span lang="EN">ATP1A2</span></li><li><span lang="EN">SCN1A</span></li><li><span lang="EN">PRRT2</span></li></ul><p><span lang="EN">Defects, or mutations, in any of these can make your body less able to make a certain protein. Without it, nerve cells have trouble sending out or taking in signals that go between them. One of these chemical messengers, or </span><a href="https://www.webmd.com/brain/neurotransmitters-what-to-know" id="83bdd40c-be72-40e2-8543-e334b57a5202;medical_reference">neurotransmitters</a><span lang="EN">, is serotonin.</span></p><p><span lang="EN">A child of a parent with hemiplegic migraines will have a 50% chance of getting them as well.</span></p></section><section><h2 class="jumplink-headers" id="091e9c5e80289141-2-6">Tests to Diagnose Hemiplegic Migraines</h2><p><span lang="EN">A CT scan or an MRI of your head can show signs of a stroke and so rule it out as a cause of your symptoms. Tests of your heart and the blood vessels in your neck can rule out blood clots as a cause of your symptoms.</span></p><p><span lang="EN">If you have a family member with similar symptoms, your doctor may want to do genetic testing. Familial hemiplegic migraine (FHM) means it runs in your family, and you could pass it on to your children. People who don't have problems with those four genes have sporadic hemiplegic migraine (SHM).</span></p></section><section><h2 class="jumplink-headers" id="091e9c5e80289141-2-7">Hemiplegic Migraine Treatment</h2><p><span lang="EN">Doctors don’t always agree on the best way to treat hemiplegic migraines.</span></p><p><span lang="EN">Your doctor might prescribe drugs to prevent hemiplegic migraines, to stop them once they've started, or to relieve your symptoms. It’s a good idea to discuss these options with your doctor.</span></p><p><span lang="EN">There is controversy over whether some drugs that are used to treat other </span><a href="https://www.webmd.com/migraines-headaches/what-is-a-migraine-with-aura" id="9572ca61-77f2-4076-a64e-ce77b09258e8;medical_reference">types of migraines</a><span lang="EN"> should be used for hemiplegic migraines. There is some evidence that </span>triptans<span lang="EN">, beta-blockers, and ergotamine derivatives may lead to ischemia (when a part of your body isn’t getting enough blood) in patients with hemiplegic migraine. But more research is needed to be sure.</span></p><p><span lang="EN">CGRP inhibitors are a new class of preventive medicine for treating most common migraines, but early studies suggest they would not work for hemiplegic migraines.</span></p></section></div></div><div class="related-articles" data-metrics-module="cwnav-art" data-metrics-sel="li"></div><footer><div class="pub-info-and-share-bar"><div class="article__publication-sources"><section class="asset-footer"><div class="asset-footer-top"><div class="asset-footer-buttons"><button class="sources-btn">Sources</button><button class="update-history-btn">Update History</button></div><div class="asset-footer-top-share"><div class="module module-social-share-footer" data-e2e="social-sharebar"><div class="socialshare-container" data-metrics-module="fm-shr"><div class="share-footer-container"><div class="share-text">Share</div><div class="icon-sb-footer-svg icon-sb-footer-share"><svg class="icon-sb-footer-svg" width="18" height="20" 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8V14H16V18ZM18 12V8C18 7.71667 17.9042 7.47917 17.7125 7.2875C17.5208 7.09583 17.2833 7 17 7H3C2.71667 7 2.47917 7.09583 2.2875 7.2875C2.09583 7.47917 2 7.71667 2 8V12H4V10H16V12H18Z" fill="#3557FF" data-v-00aa1eb2></path></svg></div></div></div><div class="save-container"><div class="auth-overlay-popup-holder" data-v-28242611><div class="bookmark-holder drug-generic-name" data-metrics-module="bkmk" data-v-28242611></div></div></div></div></div><div class="asset-footer-content"><div class="sources-section" style="display:none;"><div class="sources-wrapper" data-metrics-module="src"><p><span lang="EN">SOURCES: </span></p><p><span lang="EN">American Heart Association/American Stroke Association.</span></p><p><span lang="EN">American Migraine Foundation: "Migraine, Stroke and Heart Disease."</span></p><p><span lang="EN">Emedicine.com: "Pathophysiology and Treatment of Migraine and Related Headache."</span></p><p><span lang="EN">Migraine Research Foundation: "Migraine Facts."</span></p><p><span lang="EN">National Headache Foundation: "Transient Ischemic Attacks (TIA)," "Migraine," "Aura," "Hemiplegic Migraines," "Headache Topic Sheets: Hemiplegic Migraine," "Hemiplegic Migraine: An Unusual Type of Migraine with Aura."</span></p><p><span lang="EN">National Institute of Neurological Disorders and Stroke: "Stroke Information Page," "Transient Ischemic Attack Information Page," "Migraine Information Page."</span></p><p><span lang="EN">National Library of Medicine: "Familial Hemiplegic Migraine," "Migraine with Aura."</span></p><p><span lang="EN">National Stroke Association: "Do I Have A Migraine, Or Is This A Stroke?"</span></p><p><span lang="EN">The Migraine Trust: "Stroke and Migraine."</span></p></div></div></div><div class="asset-footer-bottom"><a href="https://www.webmd.com/about-webmd-policies/about-privacy-policy" class="asset-footer-policy"> View privacy policy, copyright and trust info </a></div><div class="asset-footer-bottom-share"><div 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She was editorial director of Krames Communications, a medical publisher in San Francisco, and VP\u002Fexecutive editor for Epicenter, a photojournalism book packager in Sausalito, Calif. \u003C\u002Fdiv\u003E\u003Cp\u003E\u003Cbr \u002F\u003E\u003Cdiv\u003EShe has written for \u003Ci\u003EGlamour, Self\u003C\u002Fi\u003E, and \u003Ci\u003ESalon\u003C\u002Fi\u003E and has been a consultant for online publishers on branding, creative direction, and editorial process design. As a book producer, her recent titles include \u003Ci\u003EThe Wedding Box\u003C\u002Fi\u003E and \u003Ci\u003EVoices from the Heart: In Celebration of America's Volunteers\u003C\u002Fi\u003E, produced for Chronicle Books. 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All rights reserved."}},"wbmd_prim_med_revr":{"aspen_id":"55c5b232-c438-4542-85a4-5d580120e1aa","wbmd_first_nm":"Carmelita","wbmd_middle_name":"","wbmd_lst_nm":"Swiner","wbmd_person_prof_ttl":"","wbmd_bio_obj_id":{"directive":"friendlyurl","object_type":"wbmd_cons_article","chronic_id":"091e9c5e81e283aa","legacy_id":"091e9c5e81e283aa","link_friendlyurl":"https:\u002F\u002Fwww.webmd.com\u002Fbio\u002Fcarmelita-swiner","content_section":{"cons_bio":{"title":"C. Nicole Swiner, MD","bio_text":{"#cdata-section":"\u003Cp\u003EVoted one of the 10 Best Doctors in North Carolina in 2017, C. Nicole Swiner, MD, is a family physician, six-time best selling author, blogger, speaker, wife, and mother in Durham, NC. She is also affectionately known as the Superwoman Complex expert and has written two best-selling books on the topic. \u003C\u002Fp\u003E\u003Cp\u003EShe loves taking care of the family as a whole, from the cradle to the grave. Her interests include minority health, women’s health, self-care, and entrepreneurship. She attended Duke University and went to medical school at the Medical University of South Carolina in Charleston. She’s lived in the Durham since finishing residency at the University of North Carolina-Chapel Hill and continues teaching as an adjunct associate professor with the family medicine department. \u003C\u002Fp\u003E\u003Cp\u003EWhen she’s not treating patients at Durham Family Medicine, she’s spending time with her family, planning items for her Superwomen subscription box program, speaking nationally, and teaching others to self-publish. Her passion is making medicine “plain” to her patients so that all people, from all walks of life, can understand how to take better care of themselves and their families. 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Many of its symptoms mimic those common to stroke. For example, muscle weakness can be so extreme that it causes a temporary paralysis on one side of your body, which doctors call hemiplegia.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cembeded_module class=\"wbmdembededmodule cke_widget_inline\" align=\"middle\" suppress_from_site=\"false\" suppress_from_fed=\"false\" suppress_share=\"false\" thumbnail=\"\u002Fwebmd\u002Fconsumer_assets\u002Fsite_images\u002Farticles\u002Fhealth_tools\u002Fbouncing_back_after_a_migraine_slideshow\u002F1800ss_getty_rf_doctor_patient_consultation.jpg\" _chronic_id=\"6da13115-a3f7-427b-ae75-4ce991d2b5d3\" asset_title=\" \" asset_description=\"Hemiplegic migraines can cause temporary paralysis on one side of the body.\" module_title=\"\" module_description=\"\" link_out_url=\"\" link_out_position=\"\" type=\"image\" height=\"1200\" width=\"1800\" alt=\"photo of doctor patient consultation\" aspen_id=\"6da13115-a3f7-427b-ae75-4ce991d2b5d3\"\u003E\u003C\u002Fembeded_module\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EHemiplegic Migraine Symptoms\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EYou may have early symptoms before the actual headache pain. Early symptoms called \u003C\u002Fspan\u003Eauras\u003Ca id=\"9572ca61-77f2-4076-a64e-ce77b09258e8;medical_reference\" link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fmigraines-headaches\u002Fwhat-is-a-migraine-with-aura\"\u003E\u003C\u002Fa\u003E\u003Cspan lang=\"EN\"\u003Emay cause:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EShort-term trouble with muscle control and sensation\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ESevere, throbbing pain, often on one side of your head\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EA pins-and-needles feeling, often moving from your hand up your arm\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ENumbness on one side of your body, which can include your arm, leg, and half of your face\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EWeakness or paralysis on one side of your body\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ELoss of balance and coordination\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EDizziness or vertigo\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ENausea and vomiting\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EOther \u003C\u002Fspan\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fmigraines-headaches\u002Fwhat-is-a-migraine-with-aura\" id=\"9572ca61-77f2-4076-a64e-ce77b09258e8;medical_reference\"\u003Eaura symptoms\u003C\u002Fa\u003E\u003Cspan lang=\"EN\"\u003E may include:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ESeeing zigzag lines, double vision, or blind spots\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EExtreme sensitivity to light, sound, and smell\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ELanguage difficulties, such as mixing words or trouble remembering a word\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ESlurred speech\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EConfusion\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EDrowsiness or loss of consciousness\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EAuras usually come on gradually over a half-hour, and then can last for hours and then slowly resolve. They can be more severe and last longer than with other types of migraine.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"2\" \u002F\u003E\u003Csection_header\u003EHemiplegic Migraine vs. Stroke\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EYou have a terrible headache. How do you know the cause? The short answer is: You don’t. Some of the symptoms of a migraine can be very much like those of a stroke.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EIf you think there's even the slightest chance you're having a \u003C\u002Fspan\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fstroke\u002Funderstanding-stroke-symptoms\" id=\"5c7672ec-6199-4f06-96e2-21031e00e5b7;medical_reference\"\u003Estroke\u003C\u002Fa\u003E\u003Cspan lang=\"EN\"\u003E, call 911 right away. Early treatment can limit the damage to your brain and possibly save your life.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EIf you're over 40 and have never had a migraine, assume your pain is something more serious, especially if you notice stroke symptoms like paralysis or slurred speech. People who get migraines typically have it most of their lives. It's rare to have your first symptoms when you're older.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EThe stroke-like symptoms of hemiplegic migraine can range from worrisome to disabling. Unlike stroke symptoms, they come on slowly and build and then may completely go away. Muscle problems usually go away within 24 hours, but they may last a few days.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"3\" \u002F\u003E\u003Cpagebreak type=\"desktop\" order=\"2\" \u002F\u003E\u003Csection_header is_continued=\"true\"\u003EHemiplegic Migraine vs. Stroke continued...\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EThere's not a predictable pattern with this type of migraine. Usually, pain follows the paralysis, but it might come before, or you might not get a headache at all. You may hurt a lot and feel only a little weak; then the next attack might bring severe paralysis without much pain.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EIt's uncommon, but over time, some people can have long-lasting trouble with movement and coordination.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fmigraines-headaches\u002Fhemiplegic-migraine-headaches-symptoms-causes-treatments\" id=\"c6cdcb80-7fd8-43e9-a473-4158ce3368be;medical_reference\"\u003EHemiplegic migraine\u003C\u002Fa\u003E\u003Cspan lang=\"EN\"\u003E symptoms often start when you're a child or teen. Sometimes, they'll disappear when you're an adult.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EHemiplegic Migraines Causes\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003ESo far, researchers have found four genes linked with hemiplegic migraine:\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cul\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ECACNA1A\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EATP1A2\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003ESCN1A\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003Cli\u003E\u003Cspan lang=\"EN\"\u003EPRRT2\u003C\u002Fspan\u003E\u003C\u002Fli\u003E\u003C\u002Ful\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EDefects, or mutations, in any of these can make your body less able to make a certain protein. Without it, nerve cells have trouble sending out or taking in signals that go between them. One of these chemical messengers, or \u003C\u002Fspan\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fbrain\u002Fneurotransmitters-what-to-know\" id=\"83bdd40c-be72-40e2-8543-e334b57a5202;medical_reference\"\u003Eneurotransmitters\u003C\u002Fa\u003E\u003Cspan lang=\"EN\"\u003E, is serotonin.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EA child of a parent with hemiplegic migraines will have a 50% chance of getting them as well.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Cpagebreak type=\"mobile\" order=\"4\" \u002F\u003E\u003Csection_header\u003ETests to Diagnose Hemiplegic Migraines\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EA CT scan or an MRI of your head can show signs of a stroke and so rule it out as a cause of your symptoms. Tests of your heart and the blood vessels in your neck can rule out blood clots as a cause of your symptoms.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EIf you have a family member with similar symptoms, your doctor may want to do genetic testing. Familial hemiplegic migraine (FHM) means it runs in your family, and you could pass it on to your children. People who don't have problems with those four genes have sporadic hemiplegic migraine (SHM).\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E\u003Csection_group\u003E\u003Csection_header\u003EHemiplegic Migraine Treatment\u003C\u002Fsection_header\u003E\u003Csection_text\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EDoctors don’t always agree on the best way to treat hemiplegic migraines.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EYour doctor might prescribe drugs to prevent hemiplegic migraines, to stop them once they've started, or to relieve your symptoms. It’s a good idea to discuss these options with your doctor.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EThere is controversy over whether some drugs that are used to treat other \u003C\u002Fspan\u003E\u003Ca link_friendlyurl=\"https:\u002F\u002Fwww.webmd.com\u002Fmigraines-headaches\u002Fwhat-is-a-migraine-with-aura\" id=\"9572ca61-77f2-4076-a64e-ce77b09258e8;medical_reference\"\u003Etypes of migraines\u003C\u002Fa\u003E\u003Cspan lang=\"EN\"\u003E should be used for hemiplegic migraines. There is some evidence that \u003C\u002Fspan\u003Etriptans\u003Cspan lang=\"EN\"\u003E, beta-blockers, and ergotamine derivatives may lead to ischemia (when a part of your body isn’t getting enough blood) in patients with hemiplegic migraine. But more research is needed to be sure.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003ECGRP inhibitors are a new class of preventive medicine for treating most common migraines, but early studies suggest they would not work for hemiplegic migraines.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003C\u002Fsection_text\u003E\u003Chighlights\u003E\u003C\u002Fhighlights\u003E\u003Cpull_quotes\u003E\u003C\u002Fpull_quotes\u003E\u003C\u002Fsection_group\u003E"},"citations":{"#cdata-section":"\u003Cp\u003E\u003Cspan lang=\"EN\"\u003ESOURCES: \u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EAmerican Heart Association\u002FAmerican Stroke Association.\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EAmerican Migraine Foundation: \"Migraine, Stroke and Heart Disease.\"\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EEmedicine.com: \"Pathophysiology and Treatment of Migraine and Related Headache.\"\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EMigraine Research Foundation: \"Migraine Facts.\"\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003ENational Headache Foundation: \"Transient Ischemic Attacks (TIA),\" \"Migraine,\" \"Aura,\" \"Hemiplegic Migraines,\" \"Headache Topic Sheets: Hemiplegic Migraine,\" \"Hemiplegic Migraine: An Unusual Type of Migraine with Aura.\"\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003ENational Institute of Neurological Disorders and Stroke: \"Stroke Information Page,\" \"Transient Ischemic Attack Information Page,\" \"Migraine Information Page.\"\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003ENational Library of Medicine: \"Familial Hemiplegic Migraine,\" \"Migraine with Aura.\"\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003ENational Stroke Association: \"Do I Have A Migraine, Or Is This A Stroke?\"\u003C\u002Fspan\u003E\u003C\u002Fp\u003E\u003Cp\u003E\u003Cspan lang=\"EN\"\u003EThe Migraine Trust: \"Stroke and Migraine.\"\u003C\u002Fspan\u003E\u003C\u002Fp\u003E"},"related_links_header":"","related_links_text":{"#cdata-section":""}}}}}},"staticPublicPath":"\u002Fstatic_vue\u002F091e9c5e81e52376\u002Fclient\u002F","isInteractivePage":false},"flow":{"flowInfo":{"guideArticle":{"assetId":"091e9c5e80285079","channelId":"1080","ctgryTitle":"Migraine","ctgryUrl":"https:\u002F\u002Fwww.webmd.com\u002Fmigraines-headaches\u002Fbasilar-artery-migraines-causes-symptoms-tests-and-treatments","category":"gd","contentType":"Article"}}},"quiz":{"rmq":{}}}</script> <script>window.__INITIAL_STATE__.route.hash = window.location.hash; window.__INITIAL_STATE__.route.fullPath = window.location.pathname; window.__INITIAL_STATE__.route.path = window.location.pathname; if(window.location.search !== ""){ var search = window.location.search.substring(1); window.__INITIAL_STATE__.route.query=JSON.parse('{"' + search.replace(/&/g, '","').replace(/=/g,'":"') + '"}', function(key, value) { return key===""?value:decodeURIComponent(value) }) } else {window.__INITIAL_STATE__.route.query={};}</script><script>try{var _comscore=_comscore||[];_comscore.push({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}}),function(){var e=document.createElement('script'),o=document.getElementsByTagName('script')[0];e.async=!0,e.src='https://sb.scorecardresearch.com/cs/6035829/beacon.js',o.parentNode.insertBefore(e,o),window.__INITIAL_STATE__?window.document.addEventListener('before_pv',function(){window.document.addEventListener('onAdobeOmniBeforePv',function(){window.biConsumerIsReady&&self.COMSCORE&&COMSCORE.beacon({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}})})},{once:!0}):window.document.addEventListener('onAdobeOmniBeforePv',function(){self.COMSCORE&&COMSCORE.beacon({c1:'2',c2:'6035829',options:{enableFirstPartyCookie:!0}})})}()}catch(e){}</script><noscript><img src='https://sb.scorecardresearch.com/p?c1=2&c2=6035829&cv=3.9.1&cj=1'></noscript>  <script id="cookieConsentScriptNonEU" async="async" src="https://img.lb.wbmdstatic.com/webmd_static_vue/file-explorer/webmd/consumer_assets/site_images/webmd-ccm/webmd-ccm-lite.min.js"></script><script type="text/javascript" async="async" importance="high" src="https://securepubads.g.doubleclick.net/tag/js/gpt.js" id="GPT_JS"></script><script>window.webmd.googleloaded = true; window.googleloaded = true; </script> <script>window.performance.mark('page-end');</script> <link rel="stylesheet" href="//img.lb.wbmdstatic.com/webmd_static_vue/091e9c5e81e52376/client/css/non-critical-1738228244533.07245cc1.css"> </body> </html>