Sharp stabbing pain in top of head feels like something piercing skin and moving ?

Ice pick headache: If you don't suffer from migraines or cluster headaches then this could be a type of paroxysmal headache called a "stabbing headache" another term used is "ice pick headache" and can occur as a separate entity or be part of a primary headache like migraine or cluster. consult a neurologist to rule out secondary causes with MRI brain. if you want treatment, consider a trial of Indomethacin 75mg qd