Several different conditions can cause headaches on top of your head. These can include different types of headaches, nerve issues, and more rare causes.

There are a number of different forms of headache that can cause pain on top of the head.

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Tension-type headaches

Tension headaches cause constant pressure or aching around the head, which may feel like a tight band has been placed around the head.

You may also feel pain in your neck and near the back of your head or temples. The pain is dull and doesn’t throb, and it’s often much less severe than that of a migraine. Although these headaches are uncomfortable, many people with tension headaches are able to resume their typical activities.

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Episodes of tension-type headaches can last from about 30 minutes to 1 week.

Migraine

Migraine is a neurological condition that causes severe and debilitating headaches. It may cause headache pain on the top of the head, though it may also appear on or travel to one side of the head or the back of the neck.

Migraine can cause severe throbbing pain, along with symptoms that can also include:

• light sensitivity
• sound sensitivity
• nausea
• vomiting
• auras, or visual disturbances

Migraine can be episodic or chronic, depending on how often the headache attacks occur.

Cold-stimulus headaches

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Cold-stimulus headaches — commonly known as “brain freezes” — come on quickly and are felt near the top of the head. They will be severe, and typically only last a few seconds. They may occur after you eat or drink something cold, such as ice water or ice cream.

Chronic headaches

Chronic headaches occur when a person experiences headaches for 15 or more days of the month. This is an umbrella term that doctors use to refer to multiple conditions.

Chronic headaches can come in many different forms. These can include:

• migraine, which can be chronic or episodic (occurring less frequently)
• tension headache
• cluster headaches, which are severe headaches that occur in clusters followed by headache-free periods
• new daily persistent headache, a rare headache condition that is not caused by another disorder
• hemicrania continua, a severe headache that occurs on one side of the head

Occipital neuralgia occurs when the nerves that move from the spine to the scalp are damaged, irritated, or compressed. They can cause pain at the back of the head, or a tight, band-like feeling around the top of the head.

Other symptoms can include:

• jolts of pain that feel like electric shocks
• dull aching
• symptoms that increase upon movement

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