Patients with vascular neuropathic pain usually have a negative clinical examination in addition to the manifestation of headache. Such patients must be strictly questioned about their medical history and undergo a physical examination. For neuropathic headache, there is no way to distinguish whether the patient has other causes of headache. At this time, CT, MRI or cerebral angiography or EEG can be considered to distinguish whether the pain is caused by vascular headache or other intracranial lesions. Neuropathic headache is clinically distinguished from organic lesions by the presence of bilateral frontotemporal dull pain and occipital dull pain, or a feeling of tightness throughout the head, but no more other neuropathic signs.