Alternating hemiplegia of childhood

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Alternating hemiplegia of childhood

ORPHA:2131Disease

Also called AHC

What it is

A rare neurological syndrome characterized by episodes of hemiplegia (alternating between the two sides of the body) or tetraplegia, and other accesses such as abnormal ocular movements, dystonia, and dysautonomia. Patients have permanent neurological impairment, variable degrees of intellectual disability, movement disorders, and psychiatric problems. Half of them present with epilepsy.

Key facts

Prevalence
1-9 / 1 000 000 (at birth, Denmark)
Age of onset
Infancy, Neonatal
Inheritance
Autosomal dominant, Not applicable
Classified as
Disease

Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.

Signs and symptoms

These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.

Genes

ATP1A2Disease-causing germline mutation(s)
ATP1A3Disease-causing germline mutation(s)
MT-TL2Disease-causing germline mutation(s)
RHOBTB2Disease-causing germline mutation(s)
SCN2ADisease-causing germline mutation(s)
SLC2A1Disease-causing germline mutation(s)
CACNA1ACandidate gene tested
SLC1A3Candidate gene tested

ICD-10 codes

G98filed under a broader ICD-10 category — shared with 2 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Cross-references

GARD 11MEDDRA 10077948MESH C536589MONDO 0016241OMIM 104290OMIM 614820UMLS C0338488

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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