Most of the dizziness symptoms in patients with high blood pressure are due to complications caused by hypertension, including hemorrhagic stroke, ischemic stroke, and hypertensive encephalopathy. For dizziness caused by high blood pressure, patients often experience accompanying related symptoms such as headache, blurred vision, hemiplegia, and aphasia. A detailed physical examination is recommended, including blood pressure, heart rate, neck mobility, fundus and other related examinations. In addition, differential diagnosis is required for dizziness due to high blood pressure, such as the presence of transient ischemic attack, inadequate blood supply to the posterior circulation, or Meniere’s disease, as well as otogenic dizziness. Depending on the etiology, treatment options vary.