Friday’s earthquake brought down many homes made of stone and mud mortar in Jajarkot and West Rukum.
Images posted on X from the affected areas show images of houses collapsed indicating the severe intensity of shaking.
Although it hit a relatively sparsely populated region of Nepal the death toll is high because it struck at night when families were asleep at home.
128 people have died in the quake with hundreds injured in a strong earthquake that originated in the country's Jajarkot district Friday midnight.