Head throbbing pain is also called vascular neuropathic headache, and the sensation of jumping pain is actually a painful sensation produced by the blood vessels with the pulsation of the pulse! Among all migraine patients, two-thirds of them have headache on one side, while another one-third have bilateral headache, that is, pain on both sides. Vascular headache is easily caused when mental stress and fast-paced life lead to plant nerve dysfunction. In addition, highland hypoxia, intracranial vascular lesions (arteriovenous malformations, aneurysms, etc.) can cause vascular headaches. Examination: During the headache of migraine, many patients have nausea, vomiting, blurred vision, photophobia and phonophobia, and prefer to live alone. Nausea is the most common concomitant symptom, reaching more than half, and is often moderate or severe. Nausea may precede the onset of headache, or may occur during or after the onset of headache. Vomiting is present in nearly half of patients, and some patients experience significant relief of the attack after vomiting. Other autonomic dysfunction may also occur, such as frequent urination, dysuria, nasal congestion, panic attacks, hypertension, hypotension, and even cardiac arrhythmias. Vertigo, ataxia, diplopia, hearing loss, tinnitus, and impaired consciousness may occur if the attack involves the brainstem or cerebellum. Differential diagnosis of headache: Neuropathic headache: Headache mainly caused by mental and emotional factors or various stresses, such as common neurotic headache, hysterical headache, depressive headache, tension headache (also called muscle contraction headache), headache caused by anxiety disorder, etc. These headaches are mostly accompanied by various neuropsychiatric symptoms, such as panic, shortness of breath, anxiety, insomnia and forgetfulness. This type of headache has a long course, and the headache lasts longer than the time without pain, but the degree of headache is mild to moderate pain. Post-traumatic brain injury headache: headache is the main symptom, but there are also dizziness, fatigue, insomnia, nervousness, easily agitated, inability to concentrate and memory loss. The headache is mostly on the side of the injury and can be accompanied by tenderness. The nature of the headache can be pulsating or heavy pressure, mostly persistent, and often intensified by mental factors, physical work, sound, sound and light stimuli. The patient behaves much like an agitated depressed patient. The severity and duration of the headache do not correlate with the degree of head injury. The neurological examination was normal and there were no abnormal findings on EEG, CT or MRI scans. It may be related to shock, fear, and thought apprehension.