Neurologists at the University of Rome, Italy report a 37-year-old woman with drug-resistant generalized epilepsy and headache who had a sudden headache during a 24-h EEG that displayed epileptic activity. Generalized S/W discharges and polyspike and wave discharges persisted for 60 min until the headache disappeared. The case represents a rare example of ictal epileptic headache in generalized idiopathic epilepsy. [1]

COMMENT. In the authors’ opinion, “ictal epileptic headache” warrants listing in the international classification of both epilepsy and headache. This case report is a rare example of the entity.