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Possible causes of sharp head pains are migraines or tension, cluster and sinus headaches. Some causes of headaches include unexplained nerve activity, colds, infections or fevers, according to WebMD.
1 Vomiting. 2  Severe pain, usually on one side of the head that some individuals describe as pounding. 3  Other types of headaches can also cause severe pain, and not all headaches are migraines. 4  For example, some people describe the pain of cluster headaches as the worst pain they have experienced.