ORPHA:569
Familial or sporadic hemiplegic migraine
Publications
3,638
90.2th percentile
Trials
6
Interventional, condition-specific
Researchers
1,025
Distinct authors in sample
Gene link
—
Readiness
5/6
Stages with a signal
Clinical definition (Orphanet)
A rare variety of migraine with aura characterized by the presence of a motor weakness during the aura. There are two main forms depending on the familial history: patients with at least one first- or second-degree relative who has aura including motor weakness have familial hemiplegic migraine (FHM); patients without such familial history have sporadic hemiplegic migraine (SHM).
How rare: 1-5 / 10 000 — about one to five people per ten thousand (still uncommon, but less ultra-rare).
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0018925
- UMLS:C0270862
Additional Mondo synonyms (3)
Hemiplegic Migraine · familial or sporadic hemiplegic migraine · hemiplegic migraine
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
5/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
3,638 matched papers (1,815 in last 10 years) Source
- Phenotype characterisedPresent
109 HPO annotations (e.g. Confusion; Muscle weakness; Hemiparesis) Source
- Animal modelPresent
8 genotype models (Mus musculus) Source
- Orphan designationPresent
1 FDA designation (1 FDA orphan-indication approval) — e.g. flunarizine Source
- Interventional trialPresent
6 matched on ClinicalTrials.gov
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
109
Associated phenotypes · MONDO:0018925
- Confusion
- Muscle weakness
- Hemiparesis
- Drowsiness
- Hemiplegia
Showing 5 of 109 — open Monarch for the full list.
Animal models (Monarch / Alliance)
8
Model associations linked to this Mondo ID
- Cacna1atm3Maag/Cacna1a+ [background:] involves: 129P2/OlaHsd·MGI:5487278·Mus musculus
- Cacna1atm3Maag/Cacna1atm3Maag [background:] B6.129P2-Cacna1atm3Maag·MGI:3836256·Mus musculus
- Cacna1atm3Maag/Cacna1atm3Maag [background:] involves: 129P2/OlaHsd·MGI:5487277·Mus musculus
- Atp1a2tm1.1Gica/Atp1a2+ [background:] B6.Cg-Atp1a2tm1.1Gica·MGI:6729923·Mus musculus
- Cacna1atm1Maag/Cacna1atm1Maag [background:] B6.129P2-Cacna1atm1Maag·MGI:3836258·Mus musculus
- Cacna1atm1Maag/Cacna1atm1Maag [background:] involves: 129P2/OlaHsd * C57BL/6J·MGI:3037958·Mus musculus
- Atp1a2tm1.1Tmklh/Atp1a2+ [background:] B6.129S1(Cg)-Atp1a2tm1.1Tmklh·MGI:6314222·Mus musculus
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
1
Designation · 1 with FDA orphan-indication approval
- FDA flunarizineHemiplegic migraine · 2016-07-20 · Not FDA Approved for Orphan Indication
Sources: FDA OOPD · EMA orphan designations
Open Targets candidates
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
3,638
3,638 papers have been published on this condition. That is a real research literature — still far smaller than common diseases (breast cancer: over 700,000 papers). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
3,638 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
1,815 in the last 10 years · high confidence · 90.2th percentile (publications denominator)
Phrase hits: 3,638 · MeSH hits: 0
Who's working on it?
1,025
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Griffiths LR7 papers · 2026
Centre for Genomics and Personalised Health, Genomics Research Centre, School of Biomedical Sciences, Queensland University of Technology (QUT), Brisbane, Australia.
Papers in Europe PMC - 02Maksemous N7 papers · 2026
Centre for Genomics and Personalised Health, Genomics Research Centre, School of Biomedical Sciences, Queensland University of Technology (QUT), Brisbane, Australia.
Papers in Europe PMC - 03Danno D6 papers · 2026
Headache Center, Department of Neurology, Tominaga Hospital, Osaka, Japan.
Papers in Europe PMC - 04Sutherland HG6 papers · 2026
Centre for Genomics and Personalised Health, Genomics Research Centre, School of Biomedical Sciences, Queensland University of Technology (QUT), Brisbane, Australia.
Papers in Europe PMC - 05Helbig I5 papers · 2025
Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Papers in Europe PMC - 06Lea RA5 papers · 2026
Centre for Genomics and Personalised Health, Genomics Research Centre, School of Biomedical Sciences, Queensland University of Technology (QUT), Brisbane, Australia.
Papers in Europe PMC - 07Lusk L5 papers · 2025
Division of Neurology, Children's Hospital of Philadelphia, Philadelphia, PA, United States.
Papers in Europe PMC - 08van den Maagdenberg AMJM5 papers · 2026
Department of Human Genetics, Leiden University Medical Center, Leiden 2333 ZC, The Netherlands.
Papers in Europe PMC - 09Alfayyadh MM4 papers · 2026
Centre for Genomics and Personalised Health, Genomics Research Centre, School of Biomedical Sciences, Queensland University of Technology (QUT), Brisbane, Australia.
Papers in Europe PMC - 10George AL Jr4 papers · 2026
Department of Pharmacology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
6
interventional trials for this specific condition
6 interventional trials matched this specific condition name; none in our sample are currently recruiting.
Data as of 11 September 2026
6 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 90.1th percentile).
high confidence · 90.1th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
6 interventional trials matched after quoted-phrase search and title/condition post-filter.
No currently recruiting studies in the matched set. Open the same search on ClinicalTrials.gov.
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 3 · after dedupe 3 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 3 · dropped 0 · fetched 2026-07-29
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (3)
- isrctn·ISRCTN57387771·No longer recruiting·A preference trial with naratriptan 2.5 mg and paracetamol 1000 mg in migraine patients in the general practice
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18216584·No longer recruiting·A preference trial with rizatriptan 10 mg and ibuprofen 400 mg in migraine patients in the general practice
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18446134·No longer recruiting·Comparative study of the efficacy and safety of intranasal ketamine and midazolam for the acute treatment of migraine with prolonged aura
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Familial or sporadic hemiplegic migraine — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Familial or sporadic hemiplegic migraine" OR "Hemiplegic Migraine"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Familial or sporadic hemiplegic migraine" OR "Hemiplegic Migraine"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 6 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Confidence reasoning
- Preferred label is multi-word and distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
Ingested 2026-07-26T14:23:05.164Z
