Patients may have neuropathic headache, or it may be caused by cold or fever, or it may be a migraine attack, depending on the form of attack and the underlying disease. 1. If the headache is lightning-like or pins-and-needles pain, it is considered to be caused by neuropathic headache, such as occipital neuralgia and temporal neuralgia. 3. A burst of pain in the patient’s head may also be caused by cold and fever diseases. When a patient has a cold, the toxins secreted by pathogenic bacteria and bacteria will stimulate the scalp, fascia and pain-sensitive structures of the head, causing patients to have episodic headache, and patients will also have external symptoms such as sneezing, runny nose and muscle aches.