Patients with swelling pain at the top of the head, mainly consider the following causes: 1, to be considered caused by neuralgia, this condition is generally presented at the top of the head swelling pain or with lightning-like, discharge-like pain, will suddenly occur, the degree of pain is more intense; 2, patients at the top of the head if the performance is pulsating headache, consider the vascular headache, may be migraine attacks; 3, with neurological function This kind of patients usually tend to have recurrent headache because of poor sleep, insufficient rest or fatigue, mental tension and other factors; 4. If the headache lasts for a long time, it is also considered to be caused by intracranial occupancy or intracranial tumor.