Neurogenic migraine is a common disease with high incidence, mainly characterized by persistent dull headache or a feeling of heaviness. Most patients have headaches on both sides, which are limited to the temples on both sides, the back of the occipital area and the top of the head, and some of them even spread to the shoulders and neck, causing soreness and discomfort in the shoulders and neck. So, what are the causes of neurologic migraine? Neurogenic migraine causes Modern medicine believes that neurogenic migraine is caused by nerve tension, when the patient is subjected to external pressure will appear mental, emotional tension, which triggers headache symptoms. Or when the brain is stimulated, it may also cause neurological headaches. Neurogenic headache is clinically divided into vascular neurogenic headache, overnight neurogenic headache, breastfeeding neurogenic headache, different types of headache clinical performance is different. (1) Vascular neurological headache, usually seen in one or both temples, orbits or forehead, mainly manifested as throbbing, distending and throbbing pain, but also can be manifested as drilling, stabbing and traction pain; (2) Late-night neurological headache is mostly seen in the two temples, forehead, and posterior occipital region, mainly manifested as boring, distending, or stabbing pain. (3) Breastfeeding neurological headache is mostly seen in one or both temples, or even the whole headache, mainly manifested as boring pain, swelling pain, with a sense of tightness, but also can be manifested as stabbing pain or throbbing pain. Therefore, after the headache symptoms, patients should first exclude some organic lesion factors in the brain through cranial CT or magnetic resonance imaging (MRI), and then diagnose which type of migraine headache it is, and take corresponding treatment plan. Neurologic migraine treatment Patients with less frequent onset and shorter duration of pain can be treated with medication, and those who have no effect after medication can be considered for surgery. Microvascular decompression surgery is an advanced and mature technology in neurosurgery, which is an effective means to treat intractable migraine. Surgery is mainly carried out based on the theory of vascular compression of nerves, which holds that the blood vessels and nerves of migraine patients are stuck, entangled and adhered to each other for various reasons, and under the influence of other factors such as mental stress and fatigue, the blood vessels produce an abnormal stimulation of the nerves, which triggers the headache. Microvascular decompression surgery is used to treat intractable migraine headaches with the advantage of a microscope to relieve the pressure or entanglement of blood vessels on the nerves and insert a special medical spacer between the two to decompress the nerves. This procedure does not require a craniotomy, and the incision is only 3-5cm, which does not affect the aesthetic appearance after the operation.