Pain during head shaking is not necessarily a brain tumor, but has the following common causes: 1. Vascular headache, which is a functional headache caused by vasoconstriction and dilation disorders and abnormal secretion of neurotransmitters, may occur when the head is shaking, when going up stairs, or when bouncing. There are many other triggers, such as drinking alcohol, staying up late, drinking strong tea and coffee, blowing cold wind, getting cold, etc. 2. Head neuralgia, more commonly known as occipital neuralgia, is related to muscle tension and pulling in the neck and chronic myofascial inflammation in the posterior occipital area, which can sometimes induce occipital neuralgia when the head is shaken and pulling on the muscles. The pain is more limited in scope and manifests as soreness, tingling, swelling or electric shock-like pain.3. It is possible that a brain tumor has occurred, which may also result in increased pain with activity. However, it is also accompanied by other symptoms, such as symptoms of high cranial pressure, nausea, jet vomiting or impaired consciousness, and may also produce signs of neurological deficits such as hemiparesis.4. Cerebral hemorrhage, including intracerebral parenchymal hemorrhage and subarachnoid hemorrhage, pain may also be aggravated by activity. Most of the hemorrhages are preceded by underlying diseases, such as hypertension, and some patients have congenital aneurysms or vascular malformations. After the headache appears, if the symptoms persist without relief, head CT, magnetic resonance imaging and angiography should be improved to further clarify the diagnosis and determine the cause.