The pain in the top of the head like a pinprick from time to time may be related to herpes zoster, tension headache and intracranial tumor and other factors. 1. Herpes zoster: an acute inflammatory skin disease caused by varicella zoster virus, before the rash can have mild fatigue, low fever, poor appetite and other systemic symptoms, the affected area of the skin self-conscious burning sensation or neuralgia, touching has obvious pain sensitivity. The most common areas are intercostal nerve, cervical nerve, trigeminal nerve and lumbosacral nerve innervation area. If it occurs in the area innervated by the trigeminal nerve, a tingling sensation on the top of the head may occur. 2. Tension headache: the onset of tension headache is often associated with excessive emotional tension, anxiety and other reasons, these adverse emotions can stimulate the blood vessels in the brain leading to vasodilatation dysfunction and cerebral cortex dysfunction, which may cause pinprick pain from time to time. 3. Intracranial tumor: If there is a tumor in the skull, when the tumor grows to a certain size, it can compress the peripheral nerves or blood vessels and stimulate the peripheral nerves, which will cause pinprick pain in the top of the head from time to time. If you have pinprick pain in the top of your head from time to time, you should go to regular hospitals in time to find out the cause of the disease and choose the suitable method for your treatment under the guidance of professional doctors.