Nepal Journal of Neuroscience
Official Journal of Nepalese Society of Neurosurgeons

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Euphoria Preceding Migraine Headache Episodes.

Dhana R. Shakya, MD
Department of Psychiatry B P Koirala Institute of Health Sciences Dharan, Nepal

We report a case with euphoria preceding migraine headache, reported for its rare presentation. A 30-year-old lady presented with episodic headache for 12 years and three episodes of seizure in last two years. At presentation, she was euphoric with a sense of impending headache. She would also have blurring of vision for 15-30 minutes immediately prior to headache. Her headache was associated with photophobia, phonophobia, and nausea. She had headache other times also without loss of consciousness. With the impression of “migraine headache with aura with seizure”, she was put on analgesic and antiepileptic drugs. She responded well and was asymptomatic at one year follow up.

Key Words: aura, classical migraine, elevated mood, prodrome