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Start free with EleplanAlternating 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
Very common80–99%
3Common30–79%
24- Abdominal distention
- Abnormal autonomic nervous system physiology
- Abnormal involuntary eye movements
- Anorexia
- Ataxia
- Atypical behavior
- Constipation
- Delayed speech and language development
- Diarrhea
- Dysphagia
- Dystonia
- Esotropia
- Exotropia
- Failure to thrive
- Flushing
- Intellectual disability
- Mydriasis
- Neurodevelopmental delay
- Nystagmus
- Oral-pharyngeal dysphagia
- Pallor
- Seizure
- Tetraparesis
- Vomiting
Sometimes5–29%
34- Abnormal pyramidal sign
- Abnormal T-wave
- Aggressive behavior
- Apnea
- Areflexia
- Aspiration
- Bilateral tonic-clonic seizure
- Bulbar signs
and 26 more in this range
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
ICD-10 codes
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
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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