what to do for a hemiplegic migraine/ ultimate remedy

What To Do For A Hemiplegic Migraine? Ultimate Remedy

Table of Contents

About 70-75% of migraines are migraines without aura (standard), which have typical migraine symptoms including throbbing headache, nausea, vomiting, sensitivity to light (photophobia), and sound (phonophobia). However, migraine is a spectrum, and there are different types. It can cause symptoms.

Hemiplegic migraine is a rare type of migraine. One of the most important symptoms of this very uncommon but essential type of migraine is weakness on one side of the body. It can mimic a stroke’s symptoms and be confused with it, making it difficult to diagnose.

Like other types of migraines, hemiplegic migraines cause:

  • Severe and throbbing pain
  • nausea
  • Sensitivity to light and sound
  • It can also cause temporary weakness, numbness and tingling, and paralysis on one side of the body.

These symptoms begin before the headache. “Hemiplegia” means paralysis.

Aura also includes other sensory and speech problems. In people with hemiplegic migraine, weakness or paralysis occurs as part of the aura.

types of migraine

Types of hemiplegic migraine

There are two types of hemiplegic migraine. The type you have is based on your family history of migraines:

  • Familial Hemiplegic Migraine (FHM)

It affects at least two close relatives in the family. If you have FHM, each of your children has a 50 percent chance of inheriting it.

  • Sporadic Hemiplegic Migraine (SHM)

It affects people who do not have a family history of this disease.

If there is a history of this type of migraine in the patient’s family, it is called familial diplegic migraine. (familial Hemiplegic Migraine) This disease is inherited from parents through genetics, and if the patient’s family history is adverse, it is called sporadic hemiplegic migraine (S parodic Hemiplegic migraine). This type of migraine is caused by a mutation A gene happens.

Many times, this type of migraine starts in childhood.

Paralytic migraines cause symptoms such as confusion and slurred speech that are similar to those of a stroke.

Visiting a neurologist or headache specialist for tests can help you with the correct diagnosis and treatment.

type and symptoms of migraintes

Symptoms of hemiplegic migraine

Symptoms of hemiplegic migraine can include:

  • Weakness on one side of the body, including the face, arm, and leg
  • Numbness or tingling in the affected area of your face or limbs
  • flashing lights, double vision, or other visual disturbances (auras)
  • Difficulty speaking or slurred speech
  • Drowsiness
  • Dizziness
  • Loss of coordination

Hemiplegia can cause:

  • stroke
  • Brain infections
  • Concussion
  • Genetics
  • Brain tumors

One of the most common causes of hemiparesis is stroke. The severity of muscle weakness you experience can depend on the size and location of the stroke. Stroke in utero is the most common cause of hemiplegia in children.

People with this type of migraine rarely have more severe symptoms, including:

  • confusion
  • Loss of control over the movement
  • Decreased consciousness
  • Memory loss
  • a coma

Symptoms may last from a few hours to a few days. Memory loss can sometimes last for months.

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Treatment of hemiplegic migraine

Many medications used to treat typical migraines are also effective for hemiplegic migraines. Your doctor may prescribe both a preventative medicine and a stopping medicine.

  • Prophylactic drugs
  1. Beta-blockers
  2. Botulinum toxin type Onabotulinumtoxin A or Botox
  3. CGRP antagonists
  4. Anticonvulsants
  5. Calcium channel blockers (especially verapamil)


  • Stop drugs for acute attacks.
  1. Intravenous/IV drugs: magnesium, Toradol, and antiemetics (such as Reglan)
  2. Oral drugs: Nonsteroidal anti-inflammatory drugs (NSAIDs), Ubrelvy and Nurtec
  3. Serotonin Selective Receptor Agonists/SSRA
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Causes of hemiplegic migraine

It is caused by changes (mutation) in genes. Several genes are associated with this type of migraine, including:





Genes contain instructions for making proteins that help nerve cells communicate. Mutations in these genes affect the release of brain chemicals called neurotransmitters.

When these genes are mutated, communication between specific nerve cells is interrupted. This issue can lead to severe headaches and visual disturbances.

In FHM, gene changes occur in family members. In SHM, gene changes occur spontaneously.


Note: The image is provided for professionals. Ordinary people ignore it.

How to Diagnosis

Doctors diagnose hemiplegic or hemiplegic migraine based on their symptoms.

You have this type of headache if you have at least two migraine attacks with aura, weakness, and visual, speech, or language symptoms. These symptoms should go away after the headache improves.

Diagnosing hemiparalytic migraine is more complex than other diseases, such as stroke or mild stroke (transient ischemic attack). Its symptoms can also resemble MS (Multiple Sclerosis) or seizures.

To rule out diseases with similar symptoms, the doctor performs tests such as the following:

  • CT scan

which uses X-rays to create images of the internal elements of your body.

  • MRI

which uses strong magnets and radio waves to create images of the internal elements of your body.

  • Electroencephalogram

which measures the electrical activity of your brain.

  • Echocardiogram

which uses sound waves to create an image of your heart.

If one or more of your family members have this type of migraine, you can get genetic testing.

However, most people with familial or hemiplegic migraine will not test positive. Researchers have yet to find all the genes associated with this disease.


How to prevent

Hemiplegic or hemiplegic migraine attacks often begin in childhood or adulthood. If this type of headache runs in your family, you will likely develop it.

According to the Stroke Association, if one of your parents has a paralytic migraine, there is a 50 percent chance that you will also get one.

If hemiplegic headaches run in your family, you may be unable to prevent them. However, you can use medications to reduce the number of headaches you have.

Another way to prevent these migraine attacks is to avoid the factors that cause headaches.

what to do for a hemiplegic migraine/ ultimate remedy08

Prognosis of hemiplegic migraine

Some people’s migraine attacks stop with age. However, in other people, this disease does not disappear.

According to the Stroke Association, having a migraine and aura can double the risk of some types of stroke.

If you smoke or use birth control pills, your risk of stroke increases, but the overall risk is still shallow.

Doctors disagree on how to treat hemiplegic migraine.

  Your doctor may prescribe medications to prevent type of migraines and their onset, relieve your symptoms, and discuss your best treatment options.

There is much debate as to whether other migraine medications are effective for this type, and there is evidence that triptans, beta-blockers, and ergotamine derivatives may lead to ischemia. (less blood reaching an area of the body) in patients to treat migraine hemiplegia.

  CGRP inhibitors are a new class of preventive medications for treating migraines, but studies show that this treatment may not be effective for hemiplegic migraines.


A hemiplegic migraine is rare, with symptoms similar to stroke and seizures. Like all migraines, this is accompanied by severe headaches, nausea, and aversion to light and sound.

In this type of migraine, the symptoms are temporary weakness, numbness, tingling and paralysis on one side of the body simultaneously as the headache or shortly before the occurrence. These symptoms are gradually created in the body and disappear entirely after the end of the migraine attack. The gradualness, movement of symptoms and complete removal of symptoms are the points of difference between the symptoms of hemiplegic migraine and stroke.

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Author and specialist

Dr. Majid Zahrabi,


  • Board Certified Neurosurgeon
  • DHA certificate holder
  • Plantation certificate holder, France
  • Certified holder of Discogol, France
  • A pioneer in the non-surgical treatment of disc herniation in the Middle East and CIS countries.
  • Under the training and coaching of Professor Jacques Theron (founder of Discogel Therapy) since 2008
  • More than 400 successful cervical and 1300 lumbar discogel injections
  • Trained and certified several neurosurgeons and spine surgeons in the Middle East and CIS countries for the treatment of Discogel
  • Strong belief in patient-centered care planning and participation
  • Neurosurgeon and spine surgeon at Imam Khomeini and Amir Mazandarani Hospital, Sari, Iran, with more than 430 surgeries annually, 2000-2011
  • Neurosurgeon and spine surgeon at Farmaniyeh, Nikan and Yas Sepid Hospital, Tehran, Iran, with more than 400 surgeries annually, 2011-2012
  • Neurosurgeon at Iranian Hospital, Dubai, 2022-2023
  • Since 2015, he has been working as a reference doctor for the treatment of intervertebral disc herniation with Discogel and has trained many doctors of spine-related specialties in various countries of the Middle East and CIS in person/practically and online.



  • Individual training sessions under the direct supervision of Professor Jacques Theron in Discogel treatment, 2008-2020
  • Training sessions under the supervision of Professor Thierry Boye on spinal implants, 2007
  • Participation and presentation in several national and international medical and neuro-spinal conferences
  • Board certificate by Iran Neurosurgery Board, 2001
  • Neurosurgery assistant training course, Isfahan University of Medical Sciences, Isfahan, Iran, 1996-2001 (In 2001, he graduated from Isfahan University of Medical Sciences with the first rank in the country.
  • His thesis the titled:The Application of human amniotic membrane in repair of dura matter in dogs.” ( It was happening for the first time in the world. )
  • General medical education, Tabriz University of Medical Sciences, Tabriz, Iran, 1984-1993


Published books:

  • CT scan of the brain for doctors
  • Etiology and treatment of painful spine disorders
  • Atlas of diagnosis, prevention, and treatment of spine disorders
  • The most common mistakes in the treatment of spinal disorders
  • Reading brain CT scan in simple language (3rd place in the book of the year)
  • Treatment of head and spine injuries

Publications and articles:

  • Bacteriostatic and bactericidal effects of DISCOGEL® (https://www.researchgate.net/)
  • Muscle recovery, reduction of pain, and improvement of movement strategies in patients with lumbar discopathy after injection of Discogel.
  • The article on the initial results of the treatment of intervertebral disc herniation with discogel injection, which won the second-best poster rank at the Pan Arab International Congress of Interventional Radiology (March 14-16, 2015) and was accepted for presentation at the Chicago Pain Congress.
  • The use of human amniotic membrane in dura mater repair in dogs, a study for the first time in the world.



  • Annual Congress of Physiotherapists of Iran, 2019
  • Chicago International Pain Congress, 2019
  • Iran International Pain Management Congress, 2018
  • Annual Congress of Physiotherapists of Iran, 2018
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Armenia for orthopedic specialists and neurosurgeons, 2017
  • First Live Workshop and Seminar on Minimally Invasive Disc Therapy (DISCON), 2017
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Azerbaijan for orthopedic specialists and neurosurgeons, 2016
  • Seminar of Iranian official managers, 2016
  • Presentation of Discogel as an innovative solution for the treatment of spinal disc herniation in Tajikistan for orthopedic specialists and neurosurgeons, 2016
  • International Neurological Intervention Congress in Iran, 2014
  • Educational seminar for nurses on treatment approaches for head and spine trauma, 2014
  • Educational seminar for general practitioners on treatment approaches for head and spine trauma, 2014
  • Speech at the Retraining Seminar for General Practitioners and Specialists in Dubai (Discon) in 2017
  • Speech in the internal retraining courses of Irani Hospital, Dubai
  • Holding lecture sessions and practical workshops on the treatment of intervertebral disc herniation with discogel injection in Azerbaijan, Tajikistan, Ukraine, Oman, and Armenia during the years 2015 to 2021.
  • Giving a lecture and holding a practical workshop for neurosurgeons in Vietnam at Ho Chi Minh City University in 2023

Dr. Majid Zohrabi started treating his patients in Dubai in 2022 and continues his activities in private medical centers in the UAE.