"
tall head" refers to a person who is overly stubborn and un-wavering in a descision,be it wrong or right they will not care because they have a "tall head" about the subject,and
refuse to
admit that they are wrong at all costs.
My friend was being very
condescending to me in relation to how to correctly roll a cigggarette,however he was
oblivious to his condescending nature,which brought about a cringe on the faces of everyone listening.He had a very "
tall head".