Some elderly people start to feel itching and foreign body sensation in the throat, and then feel difficulty in swallowing, with intermittent episodes, sometimes light and sometimes heavy. The patient was suspected of having esophageal cancer, but the gastroscopy was normal. A CT scan later revealed cervical spondylosis. Hypertensive cervical spondylosis can cause an increase or decrease in blood pressure, but the former is more common and is called cervical hypertension. This is associated with sympathetic nerve stimulation by the bone. Patients often present with typical manifestations such as neck pain, tightness, and numbness in the upper extremities. Breast pain is caused by compression of the nerve roots of the 6th and 7th cervical vertebrae by the hyperplastic bone. The pain starts with intermittent vague or paroxysmal stabbing pain in one breast or the pectoralis major muscle, and is most pronounced when turning the head to one side, sometimes with unbearable pain. This pain has been misdiagnosed as angina pectoris or pleurisy. Lower extremity paralysis or defecation disorders are caused by irritation of the lateral tracts of the spinal cord. Patients have numbness, painful weakness, and limping in the upper extremities, and most of the neck symptoms are mild and easily masked. Some are accompanied by urinary frequency, urinary urgency, urinary incontinence or fecal incontinence. Visual impairment cervical spondylosis may also manifest as decreased visual acuity, intermittent blurred vision, distention and pain in one or both eyes, photophobia, tearing, and reduced visual field. This visual impairment is related to the vegetative nerve dysfunction caused by cervical spondylosis. The sudden fall is caused by the compression of the vertebral artery by the hyperplastic bone, which is easily misdiagnosed as cerebral arteriosclerosis or cerebellar disorders. The body often loses support and falls suddenly when it suddenly turns its head during walking, and then comes to its senses and stands up after the fall because of the change in the position of the neck.