Pain in the back of the head is observed with migraine, vertebrobasilar insufficiency, arterial hypertension, cerebral atherosclerosis, meningitis, encephalitis, occipital neuralgia, head and neck injuries, and some diseases of the muscles and spine. It can be dull, acute, local, diffuse, pressing, burning, pulsating. The cause of the symptom is established on the basis of complaints, examination data, additional instrumental and laboratory techniques. Treatment - analgesics, antibiotics, NSAIDs, antihypertensive, lipid-lowering drugs, neuroprotectors, physiotherapy, surgery.