Pinprick headache may be caused by herpes zoster virus infection, occipital neuralgia, intracranial tumor and other reasons. 1. Herpes zoster virus infection: after the patient is infected with herpes zoster virus, symptoms such as pinprick headache will appear, and the pain will gradually increase with the growth of herpes zoster, which can be treated with medicines such as carbamazepine and acyclovir under the guidance of doctor’s instructions. 2. Occipital neuralgia: trauma, cold, cold, stay up late and angry and other reasons may cause occipital neuralgia, the patient can be manifested as pins and needles headache symptoms, usually a few seconds to a minute ranging from the pain, can be under the guidance of the doctor to use ibuprofen, carbamazepine and other drugs treatment. 3. Intracranial tumor: Intracranial tumors gradually increase in size, which will have compression symptoms and may manifest as pinprick headache, and can be treated with craniotomy, endoscopic surgery, radiotherapy, chemotherapy and other treatments under doctor’s advice. When patients have symptoms of pinprick headache, they should go to the hospital in time and standardize the treatment under the doctor’s guidance.