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Faith L. Wolberg, MD; Dewey K. Ziegler, MD

Arch Neurol. 1982;39(6):382.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE following case report, we believe, may be the first in which olfactory hallucinations occurred as an aura in migraine.

REPORT OF A CASE

A 32-year-old right-handed woman was examined for headache. Unilateral, incapacitating, predominantly right-sided headaches associated with nausea and vomiting had occurred repeatedly since adolescence. "Sick headaches" were reported in the paternal grandmother and aunt, as well as in the patient's younger son.

The patient, before the onset of headache, would usually be aware of dark spots or lines passing across her visual field. During the past year, she also often noticed premonitory transient odors, which she described as most unpleasant, "like a decaying animal." These accompanied visual scotomata. They occurred about 20 minutes before the onset of a typical headache, and disappeared before or at onset of headache.

There was no history of seizure disorder, head injury, or serious medical illness.

The physical and neurological examinations . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Neurology, University of Kansas College of Health Sciences and Hospital, Kansas City.

Footnotes
Accepted for publication Aug 20, 1981.

Reprint requests to Kansas University Medical Center, 39th and Rainbow Boulevard, Kansas City, KS 66103 (Dr Ziegler).

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