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Ancestor membership does not transfer phenotype values between groups.","importantHtml":""},"sections":[{"bodyHtml":"<p>Alternating hemiplegia of childhood is primarily caused by mutations in the ATP1A3 gene. Very rarely, a mutation in the ATP1A2 gene is involved in the condition. These genes provide instructions for making very similar proteins. They function as different forms of one piece, the alpha subunit, of a larger protein complex called Na+/K+ ATPase; the two versions of the complex are found in different parts of the brain. Both versions play a critical role in the normal function of nerve cells (neurons). Na+/K+ ATPase transports charged atoms (ions) into and out of neurons, which is an essential part of the signaling process that controls muscle movement.</p><p>Mutations in the ATP1A3 or ATP1A2 gene reduce the activity of the Na+/K+ ATPase, impairing its ability to transport ions normally. It is unclear how a malfunctioning Na+/K+ ATPase causes the episodes of paralysis or uncontrollable movements characteristic of alternating hemiplegia of childhood.</p><p class=\"section-source\"><a href=\"https://medlineplus.gov/genetics/condition/alternating-hemiplegia-of-childhood/#causes\">MedlinePlus Genetics: Causes</a></p>","key":"forms","title":"What causes Alternating hemiplegia of childhood?"},{"bodyHtml":"<p>In addition to paralysis, affected individuals can have sudden attacks of uncontrollable muscle activity; these can cause involuntary limb movements (choreoathetosis), muscle tensing (dystonia), movement of the eyes (nystagmus), or shortness of breath (dyspnea). People with alternating hemiplegia of childhood may also experience sudden redness and warmth (flushing) or unusual paleness (pallor) of the skin. These attacks can occur during or separately from episodes of hemiplegia.</p><p>The episodes of hemiplegia or uncontrolled movements can be triggered by certain factors, such as stress, extreme tiredness, cold temperatures, or bathing, although the trigger is not always known. A characteristic feature of alternating hemiplegia of childhood is that all symptoms disappear while the affected person is sleeping but can reappear shortly after awakening. The number and length of the episodes initially worsen throughout childhood but then begin to decrease over time. The uncontrollable muscle movements may disappear entirely, but the episodes of hemiplegia occur throughout life.</p><p>Alternating hemiplegia of childhood also causes mild to severe cognitive problems. Almost all affected individuals have some level of developmental delay and intellectual disability. Their cognitive functioning typically declines over time.</p><p class=\"section-source\">Source: <a href=\"https://medlineplus.gov/genetics/condition/alternating-hemiplegia-of-childhood\">MedlinePlus Genetics</a></p><details class=\"deep-dive\"><summary>X-linked adrenal hypoplasia congenita</summary><p>X-linked adrenal hypoplasia congenita is a disorder that is noticeable from birth (congenital) and affects the development of the adrenal glands, which are hormone-producing (endocrine) organs (glands) located on top of each kidney. These glands produce a variety of hormones that regulate many essential functions in the body, such as response to stress.</p><p>One of the main signs of this disorder is adrenal insufficiency, which occurs when the adrenal glands do not produce enough hormones. Adrenal insufficiency typically begins in infancy or childhood and can cause vomiting, difficulty with feeding, dehydration, extremely low blood glucose (hypoglycemia), and shock. If untreated, these complications are often life-threatening.</p><p>Individuals with X-linked adrenal hypoplasia congenita may also have a shortage of male sex hormones, which leads to underdeveloped reproductive tissues, undescended testicles (cryptorchidism), delayed puberty, and an inability to father children (infertility). Together, these characteristics are known as hypogonadotropic hypogonadism.</p><p>The onset and severity of these signs and symptoms can vary, even among affected members of the same family.</p><h3>Causes</h3><p>Variants (also called mutations) in the NR0B1 gene cause X-linked adrenal hypoplasia congenita. The NR0B1 gene provides instructions to make a protein called DAX1. This protein plays an important role in the development and function of several endocrine tissues including the adrenal glands, two hormone-secreting glands in the brain (the hypothalamus and pituitary), and the gonads (ovaries in females and testes in males). The hormones produced by these glands control many important body functions.</p><p>Some NR0B1 variants result in the production of an inactive version of the DAX1 protein, while other variants delete the entire gene. The resulting shortage of DAX1 disrupts the normal development and function of hormone-producing tissues in the body. The signs and symptoms of adrenal insufficiency and hypogonadotropic hypogonadism occur when endocrine glands do not produce the right amounts of certain hormones.</p><p>Rarely, the entire NR0B1 gene is deleted along with other neighboring genes, resulting in the development of X-linked adrenal hypoplasia with hypoplasia congenita and other diseases, such as Duchenne and Becker muscular dystrophy and glycerol kinase deficiency.</p><p class=\"section-source\"><a href=\"https://medlineplus.gov/genetics/condition/x-linked-adrenal-hypoplasia-congenita/#causes\">MedlinePlus Genetics: Causes</a></p><p class=\"section-source\"><a href=\"https://medlineplus.gov/genetics/condition/x-linked-adrenal-hypoplasia-congenita\">MedlinePlus: X-linked adrenal hypoplasia congenita</a></p></details>","key":"overview","title":"Condition overview"}],"sharedSources":[],"slug":"alternating-hemiplegia-of-childhood","sourceDocuments":[{"name":"Alternating hemiplegia of childhood","reviewed":"2014-02","sections":{"causes":{"fetchedAt":"2026-10-20T20:19:19.396770+00:00","label":"Causes","pageSha256":"1becc95cb2b36674ca0ad21a3a1e63867c9f48d3a3025c9fbf85da73b9756e24","sourceUrl":"https://medlineplus.gov/genetics/condition/alternating-hemiplegia-of-childhood/#causes","status":"available"}},"source_release":"2026-10-01","url":"https://medlineplus.gov/genetics/condition/alternating-hemiplegia-of-childhood"},{"name":"X-linked adrenal hypoplasia congenita","reviewed":"2022-05","sections":{"causes":{"fetchedAt":"2026-10-20T20:25:53.247271+00:00","label":"Causes","pageSha256":"12d5a683a2f96239bd1074d3641c3e923020e5481ffe8c48837effdabb284ea2","sourceUrl":"https://medlineplus.gov/genetics/condition/x-linked-adrenal-hypoplasia-congenita/#causes","status":"available"}},"source_release":"2026-10-01","url":"https://medlineplus.gov/genetics/condition/x-linked-adrenal-hypoplasia-congenita"}],"sourceNote":"MedlinePlus descriptions and Causes; original HPO annotations.","takeawayHtml":"Cause explanations are from MedlinePlus Genetics. Feature values below retain their original sources and patient groups.","title":"Alternating hemiplegia of childhood"},"schemaVersion":1}