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Hemiplegic migraine causes temporary weakness on one side — mimicking stroke. It's a rare migraine variant requiring careful diagnosis.
Quick Answer
Hemiplegic migraine causes temporary weakness on one side — mimicking stroke. It's a rare migraine variant requiring careful diagnosis. Dr. Jitendra Prasad Yadav (NMC 8029, 15+ years of clinical experience) evaluates hemiplegic migraine at Kathmandu Neurology Clinic & Cognitive Center, 117 Lal Durbar Marg, Kathmandu, Bagmati Province 44600, Nepal — evidence-based, medically reviewed.
Hemiplegic migraine is a rare migraine variant characterized by migraine headache with temporary motor weakness (hemiplegia) on one side — often mimicking stroke. Two types: familial (genetic) and sporadic. Accurate diagnosis prevents misdiagnosis as stroke or epilepsy.
Sensory changes
Speech difficulty
Management is individualized and discussed with benefits, limitations, and follow-up.
Confusion
Migraine
Hemiplegic Migraine: When Migraine Mimics Stroke
Hemiplegic migraine causes temporary weakness on one side — mimicking stroke. It's rare but important to distinguish from actual stroke.
Health
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Reviewed by Dr. Jitendra Prasad Yadav • Last reviewed: 2026-11-10
Authoritative external references:
Content is educational and aligns with standard medical references; individual evaluation may vary. External links provide context and do not imply endorsement.
Doctor — medically reviewed
Dr. Jitendra Prasad Yadav
Consultant Neurologist & Headache Specialist • MBBS, MD (Internal Medicine), FICN (Neurology), FCNV, FIHM • NMC 8029
This condition guide was medically reviewed by Dr. Jitendra Prasad Yadav.
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Emergency
For sudden neurologic change, thunderclap headache, or seizure >5 min, seek emergency services now.