Hypertension headache in the back of the head, generally can be considered: poor blood pressure control, caused by hypertension complications such as some cerebrovascular disease. Headache caused by hypertension is a common symptom of hypertension, usually caused by poor blood pressure control, common parts of the temples and the back of the head, the mechanism is due to high blood pressure caused by abnormal vascular regulation. Hypertensive patients with back of the head pain, should promptly measure blood pressure, if the patient’s blood pressure is basically controlled at the normal level, it is recommended to carry out further examination such as head computed tomography scan to see whether cerebrovascular lesions. In addition, hypertensive patients with pain in the back of the head should be alert to whether it is accompanied by other symptoms, such as accompanied by limb language disorders are generally considered to be an acute attack of cerebrovascular disease, such as cerebral infarction, cerebral hemorrhage, and should be immediately sought medical attention. Clinically, cerebral infarction generally requires timely thrombolytic therapy and timely improvement of blood circulation. Cerebral hemorrhage should be judged whether timely surgical treatment is needed, and if there is no indication for surgery, the main focus should be on reducing intracranial pressure, adjusting blood pressure, controlling bleeding, and preventing complications. Hypertension pain in the back of the head, we should consult a doctor in a timely manner, under the guidance of the doctor to take targeted therapeutic measures.