Migraine is the most common neurological disorder affecting people of all ages worldwide. 

Classical presentation is an episodic headache with or without aura. Aura is commonly visual disturbance, but auditory hallucinations are very rare. However, auditory hallucinations are among diagnostic criteria for paranoid schizophrenia, a psychiatric disorder. 

Presented case is a rare example of migraine mimicking as paranoid schizophrenia.

This case emphasises the occurrence of auditory hallucinations during a migraine attack, the role of surrounding circumstances and cultural beliefs in the shaping of thinking of an individual, along with the importance of thorough evaluation before diagnosing someone with a mental disorder. 

Management followed as for a case of a usual migraine headache with good recovery. 

Keywords: migraine, aura, auditory hallucinations, paranoid schizophrenia, triggers