Pediatric hemiplegic migraine: an overview

Hemiplegic migraine (HM) is a rare subtype of migraine cha­rac­te­rized by temporary motor weakness or paralysis on one side of the body, often accompanied by other aura symp­toms such as visual disturbances, speech difficulties or sensory changes. In pediatric patients, HM poses a diag­nostic challenge due to its variable presentation and over­lap with other neurological disorders such as stroke, epi­lep­sy or functional disorders. This overview summarizes the current understanding of pediatric hemiplegic mi­graine, including clinical features, diagnostic criteria, ge­ne­tic background, differential diagnosis and available treat­ment options. Early recognition and appropriate ma­nage­ment are crucial to reduce the risk of misdiagnosis and un­ne­ces­sary interventions in afflicted children.