Almost every day, patients ask me questions about vertigo, and I try to answer them to the best of my knowledge, but sometimes the letters are just a few words, and sometimes they are so long and detailed that it is not easy to make sense of them. I know it’s not their fault, but the urgency of seeking medical attention and treatment has led to this. What I want to say here is that the history of vertigo is very important, and it is important to tell me the history clearly so that I can quickly clarify my thoughts and respond as quickly and accurately as possible. I hope the reader will find it useful to know the characteristics of the time of vertigo attacks, the number of attacks, and the symptoms that accompany them. Temporal characteristics of vertigo attacks: Sudden onset – peripheral vertigo Gradually increasing – central vertigo Intermittent – peripheral vertigo Persistent – central vertigo Temporal characteristics of vertigo attacks: Episodic rotational vertigo Several seconds: One side of the vagus or its central connection BPPV, vagal fistula, temperature effect, pressure change vertigo, post-concussion syndrome, hyperventilation syndrome Few minutes: recurrent attacks several times a day Vertebrobasilar artery dysfunction, cervical vertigo Several minutes to within 24 hours: vagal pathology. Meniere’s disease, delayed vagal effusion, early syphilitic vaginitis, vestibular epilepsy Prolonged rotational vertigo: more than 24 hours less than 3 to 4 weeks: destructive lesions of the vagus or vestibular pathways. Vestibular neuritis, bacterial and viral vestibular neuritis, internal auditory artery syndrome, head trauma, vestibular oscillations, window membrane rupture, skull base fracture, multiple sclerosis Number of vertigo episodes: single episodes: vestibular neuritis, vestibular neuritis, sudden deafness, ear trauma, window membrane rupture Recurrent episodes: Ménière’s disease, BPPV, vascular vertigo Conditions during vertigo episodes: onset during sitting up or lying down, head-up position -Transient basilar artery ischemic vertigo and cervical vertigo Onset in certain head or body positions – BPPV Concomitant symptoms of vertigo: Cochlear symptoms before, after or at the same time as vertigo attack – Periventricular disorders Associated neurological symptoms – Central nervous system disorders Vegetative symptoms – periventricular disorders Neck pain, shoulder pain, numbness and weakness of upper and lower extremities – basilar artery transient ischemic vertigo and cervical vertigo