I read your question I am sorry about your troubles. Hemiplegic migraine is a rare migraine variant (basilar migraine as well) and because of its rarity its treatment is difficult as there aren t that many studies. You are right about Maxalt, the triptan class to which it belongs is thought to potentially be harmful (although it s more an assumption it has not been proven) so the treatment is restricted to anti inflammatory drugs like Ibuprofen taken as early as possible at the onset of the attack often accompanied by an antiemetic. Also since prevention is the best treatment prophylactic therapy can be started if attack are frequent. There are many options, but the two most frequently used for these two specific migraine types are flunnarizine or topiramate. I hope to have been of help.