Common causes of head-up vertigo include otolithiasis, Meniere’s disease and refractive error. 1. Otolithiasis: the etiology is complex, and vertigo often occurs when the head position changes and lasts for a short period of time. 2. Ménière’s disease: an otogenic vertigo disease characterized by the accumulation of water in the membranous labyrinth, which may be triggered by factors such as fatigue, mental stress and sleep disorders. It often manifests as episodic vertigo, which can occur when tilting the head, accompanied by hearing loss, tinnitus and other symptoms. 3. Refractive error: It is a common eye disease, which may be related to heredity, environment, corneal or lens dysplasia. The main manifestations are vision loss, blurred vision and other symptoms, which may be accompanied by a feeling of vertigo. Vertigo can also be caused by cervical spondylosis, craniocerebral diseases, etc. It is recommended that patients go to the hospital in a timely manner to identify the cause of the disease and take targeted treatment to avoid delaying the condition.