Neuropathic migraine is a common disease with high incidence, mainly characterized by persistent dull pain in the head, or a feeling of heaviness. Most patients have headaches on both sides, limited to the temples, back of the head and the top of the head, and some even spread to the shoulders and neck, causing soreness and discomfort in the shoulders and neck. So, what causes neuropathic migraine? Modern medicine believes that neuropathic migraine is caused by nervous tension, when the patient is under external pressure, there will be a high degree of mental and emotional tension, which will cause headache symptoms. It may also be caused when the brain is stimulated. Neurogenic headache is clinically divided into vascular neurogenic headache, simmering neurogenic headache, and lactating neurogenic headache, and the clinical manifestations of different types of headache vary. Vascular neurogenic headache is usually found in one or both temples, orbits or forehead, and mainly manifests as throbbing, swelling and pulsating pain, or drilling, stabbing and traction pain; simmering neurogenic headache is mostly found in both temples, forehead and posterior occipital area, and mainly manifests as boring, swelling or stabbing pain. Lactation neuropathic headache is mostly seen in one or both temples, or even the whole headache, mainly manifesting as boring pain, swelling pain with tightening sensation, or it can also manifest as stabbing pain or throbbing pain. Therefore, after patients have headache symptoms, they should first exclude some organic pathological factors in the brain through cranial CT or magnetic resonance imaging (MRI), and then diagnose which type of migraine it is and take the corresponding treatment plan. Treatment for neuropathic migraine: Patients with less frequent attacks and short duration of pain can be treated with medication, and those who have no effect by medication can be considered for surgery. As for the surgical treatment of migraine, microvascular decompression has good effect on the treatment of migraine and is unanimously recognized and praised by patients.