There is a tendon in the head a burst of pain mainly seen in the following aspects of the cause: a. If there is a side of the headache mainly, for paroxysmal, pulling-like pain, ask the patient whether there is limited neck movement, neck pain, neck muscle tension, consider the possibility of cervical spondylosis caused by occipital neuralgia, you can do cervical spine MRI examination. You can massage the neck or head and give antiepileptic drugs, such as gabapentin, carbamazepine, etc. After oral administration, the symptoms can be relieved. The patient should be asked about his or her past sleep and whether he or she has been sleep deprived for a long time. Some patients are prone to cerebral vascular spasms caused by lack of blood supply in the brain under long-term sleep deprivation, which also manifests as a painful bout of a tendon in the head, and can be clarified by cranial CT plus brain ultrasound.