Patients wake up with dizziness, the causes are mainly considered in the following aspects: 1, if the patient is in the process of turning over or in the specific position of the head changes, there are episodes of dizziness, accompanied by visual rotation, the duration of a relatively short period of time, considered to be caused by otoliths. 2, the patient, if dizziness persists with tinnitus, ear stuffiness, considered to be caused by peripheral vertigo diseases, the most common may be Meniere’s disease, labyrinthitis, if patients have a history of upper respiratory tract infections within 2 weeks before onset, also considered to be vestibular neuronitis disease. If the patient has a history of upper respiratory tract infection within 2 weeks prior to the onset of the disease, dizziness is also considered to be vestibular neuronitis disease. 3, if dizziness persists, middle-aged and elderly people should be considered to be caused by cerebral vasospasm, cerebral blood supply insufficiency, which can be clarified by transcranial Doppler examination.