Most of the throbbing pain at the back of the head is considered to be a kind of neuralgia, possibly a primary occipital major neuralgia, with general symptoms of episodic nature and duration ranging from a few seconds to 1-2 minutes. The exact cause is not clear, and the main treatment is symptomatic. Commonly used drugs include carbamazepine, oxcarbazepine, phenytoin sodium, and vitamin B1 and vitamin B12 can be applied to nerve therapy. It may also be caused by multiple sclerosis, a demyelinating disease of the central nervous system, which can be treated with adrenocorticotropic hormones in the early stage, along with nerve-nourishing drugs. It may also occur if the patient’s blood pressure is too high, and blood pressure should be monitored if necessary. It may also be caused by cervical spondylosis, and the patient may also experience neck and shoulder muscle pain and discomfort, which can be clearly diagnosed by cervical spine MRI. It can also be caused by tumors in the posterior cranium, and cranial MRI can be performed if necessary to clarify.