What is the cause of a pain in the top of the head, to clarify the head specifically which piece of pain, there are several possibilities: first, posterior occipital pain, general posterior occipital lateral pain is occipital neuralgia, it is characterized by significant pressure pain when pressing the pressure point of the occipital nerve, the pain is confined to the area innervated by the occipital nerve, the nature is generally stabbing pain or throbbing pain, pulling-like pain. Secondly, cephalalgia is usually caused by myofasciitis or cold or infection, and there is pressure pain of the scalp and muscles when pressing the local area. Third, temporal pain, more common temporal arteritis, vascular headache, there may be increased pain when local pressure is applied. Fourth, supraorbital neuralgia, which is limited to the frontal side, may cause localized pressure pain when pressing on the supraorbital notch, and sometimes involves the eye, with eye swelling and pain. Fifth, maxillary sinusitis, limited to the lower part of the eye, with localized pressure pain in the maxillary sinus, which may have fever and runny nose when infected.