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The weakness that characterizes hemiplegic migraine is a manifestation of motor aura. The aura of hemiplegic migraine is most probably caused by cortical spreading depression, a self-propagating wave of neuronal and glial depolarization that spreads across the cerebral cortex.
In the rarest of auras, the limbs and possibly the face on one side of your body might become weak; this is referred to as hemiplegic migraine. A migraine aura usually precedes the migraine attack but can also occur during the attack. A migraine aura can also occur without an associated headache. The migraine attack itself can last as little as four hours or as long as several days. The attack is followed by a postdrome phase, where you might feel drained or washed out.