When it comes to migraine, many people think that a hemiplegic headache is a migraine, which is a misconception. A hemiplegic headache is a clinical symptom, while migraine is a disease. A hemiplegic headache is a common manifestation of migraine, but many other migraineurs can present with pain throughout the head, or bilateral temporal (solar plexus) pain. In addition, a hemiplegic headache may be one of the manifestations of hypertension, cerebral hemorrhage, meningitis, or brain tumor, so a physician should be available to make a determination, and in some cases the necessary tests are required to confirm the diagnosis. In clinical practice, we often hear many patients and doctors mentioning terms such as vascular headache and vascular neurological headache, so it is necessary to make some clarifications here. In fact, according to the 2004 International Headache Classification Standard, there is no vascular headache and vascular-neurological headache. In other words, the terms vascular headache and vasoneurotic headache are a non-standard term, which most of the time refers to migraine. Many primary care physicians and non-neurologists use this term extensively, leading to the fact that migraine is not as well known as vascular headache and vasoneurotic headache in China. In fact, the prevalence of migraine is high, with statistics showing that approximately 1 in 13 men and 1 in 6 women suffer from the condition, making it one of the most common conditions in neurology.