What Causes Pain at the Top of the Head?

Hello, most headaches localized to the top of the head are either migraines or tension-type headaches. During a migraine, some individuals experience prodromal symptoms before the headache onset—such as visual distortions (e.g., wavy or blurred vision), changes in color perception, and possibly numbness or abnormal sensations (paresthesia) in the limbs or face. Migraine attacks are often accompanied by nausea, vomiting, and fatigue; afterward, many people feel persistently weak and experience loss of appetite. In contrast, tension-type headaches lack a fixed location—the sensation over the top of the head is typically described as pressure or tightness, often associated with anxiety, depression, or cervical spine disorders. We hope this information is helpful to you. Wishing you a happy and healthy life!