The most likely cause of head pain like pins and needles is neuralgia. Neuralgia is mainly in the area of nerve distribution and can be caused by viral attack, infection, other idiopathic causes, mainly including occipital neuralgia, glossopharyngeal neuralgia, trigeminal neuralgia, and herpes zoster neuralgia. Neuralgia is a pain like pins and needles in the nerve distribution area, unbearable in severe cases, with a relatively short attack frequency and different duration for each person, and should also be differentiated from other diseases, including vascular headache. If the above symptoms occur, it is best to go to the hospital for further diagnosis in combination with specialist examination and specialist examination.