Two children with severe transient focal headaches are presented. Complete relief was obtained aftercyproheptadine treatment. A characteristic feature of these cases was focal persistent irritative EEGdisturbances. All the other diagnostic examinations were normal. The possibilities of migraine alone, or ofheadache as an equivalent of epileptic fit, are discussed separately with a review of the relevant literature.Finally, the probability of an underlying autonomic epileptic phenomenon causing a classic migraineattack is raised.