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If your child has acquired hemiplegia, which results from damage to the brain during childhood, you have exactly the same risk of any other person of another child getting hemiplegia ? approximately one in a thousand. If, however, your child has congenital hemiplegia your risk is slightly increased although it is still extremely unlikely to occur again.

The causes of hemiplegia are mostly unknown, and parents will usually only become aware of their child's hemiplegia gradually during his or her infancy. Hemiplegia is caused by damage to some part of the brain, often because of a small stroke or bleed. This may happen before, during or soon after birth, when it is known as congenital hemiplegia, or later in which case it is called acquired hemiplegia.

Hemiplegia as a condition does not change very much. However, as your child grows older you may find that it affects more aspects of their development than is immediately obvious. Conversely, with continued and regular therapy the effects of hemiplegia can be lessened. When your child is older you may find that they can be encouraged to take up a sport or hobby which will have a therapeutic effect as well as boosting their self-confidence.

Yes, there may be. Approximately half the children do have additional problems. Some of these are medical in nature, such as epilepsy, visual impairment or speech difficulties. In the last few years it has also become clear that many children have less additional problems, such as perceptual problems, specific learning difficulties, ADHD, or emotional and behavioural problems.

About 30% of children with hemiplegia will have a seizure, and of these approximately two thirds will have further seizures and will require medication. It is not possible to predict who is going to heave epilepsy but the majority who are going to do will have a seizure before they are four years old. Very few children have a first seizure after the age of 10.

When a child is first diagnosed with hemiplegia, it is often very difficult for a doctor to predict whether his problems will be mild or severe later in life. Doctors, specialists and therapists will often adopt a "wait and see" approach that many parents find difficult to cope with as they want concrete answers there and then. The way forward is to gain a greater understanding and awareness of hemiplegia and discover how best you can help your child achieve his full potential.