When pain occurs when pressing the top of the head, the common causes are as follows: 1) medical factors: such as blood pressure fluctuations, heart rate fluctuations, fever, etc.; 2) intracranial factors: including infection, tumor, inflammation, peripheral nerve entrapment, etc.; 3) extracranial factors: local muscle tension causing myofasciitis. Before treatment, relevant imaging examinations, such as cranial MRI, cervical MRI, carotid and vertebral artery ultrasound, soft tissue ultrasound of the neck, and laboratory tests, such as blood routine and blood biochemistry, are required. The cause of the disease will be determined and then targeted treatment, such as drug therapy, injection therapy or minimally invasive interventional therapy, will be performed.