Vertigo when lying down and getting up is due to the rapid rotation of the head or a change in posture, which can induce a transient paroxysmal vertigo, and is considered to be related to otoliths, cervical spondylosis and other factors, it is recommended to carry out the relevant examinations to clarify the diagnosis, and give appropriate treatment. 1. Otolithiasis: refers to peripheral vertigo associated with changes in head movement. When the position of the head changes, sudden rotational vertigo or dizziness can occur when lying down or getting up, accompanied by nausea, vomiting and other symptoms. Medications such as iproniazine and methylcobalamin can be used to relieve dizziness under the guidance of a doctor, and otolith repositioning can also be performed. 2. Cervical spondylosis: lying down and getting up dizziness may be related to vertebral artery-type cervical spondylosis. This disease is mainly due to cervical spine hyperplasia, cervical disc herniation and other reasons, compression of the vertebral artery and cause insufficient blood supply to the brain. When lying down or getting up, due to factors such as the height of the pillow, changes in body position, etc. will trigger an attack, showing the symptoms of dizziness. The symptoms of dizziness when lying down and getting up, it is recommended to go to the hospital in a timely manner to identify the cause of the disease and symptomatic treatment.