What causes intermittent, cramp-like pain in the back of the head?

Generally, cramp-like paroxysmal pain in the back of the head may be caused by neuralgia, cervical spondylosis, cerebral infarction, or other conditions. Patients should promptly visit a hospital for examination and receive medication treatment under medical guidance.

1. Neuralgia: If a patient's local area is exposed to cold or experiences intense emotional stress, neuralgia may develop. Common symptoms include headache and dizziness; therefore, cramp-like paroxysmal pain in the back of the head could result from neuralgia. Under a doctor’s guidance, patients may take medications such as vitamin B1 tablets or mecobalamin tablets. In daily life, it is important to stay relaxed and maintain stable emotions.

2. Cervical Spondylosis: Poor sitting posture or using a pillow that is too high may lead to cervical spondylosis. Common symptoms include dizziness and neck stiffness; thus, cramp-like paroxysmal pain in the back of the head might be due to cervical spondylosis. Patients can receive treatments such as massage or acupuncture under medical supervision. In daily life, attention should be paid to maintaining proper posture and avoiding prolonged periods of head-down positions.

3. Cerebral Infarction: Patients with hypertension or diabetes may develop small artery occlusion, which could trigger cerebral infarction. Common symptoms include limb numbness and dizziness; therefore, cramp-like paroxysmal pain in the back of the head might be caused by cerebral infarction. Under a doctor’s guidance, patients may use medications such as clopidogrel hydrogen sulfate tablets or edaravone injection. A light, healthy diet is recommended in daily life.