Cervical vertigo refers to vertigo caused by organic or functional changes in the cervical spine and related soft tissues (joint capsule, ligaments, nerves, blood vessels, muscles, etc.), also known as Barre-Lieon syndrome. Vertigo is an illusion of motion, including the sensation of spinning, rolling, tipping, swaying, floating and sinking. Dizziness is only the sensation of dizziness, heavy head, light head, blurred eyes, and blackness without the illusion of motion. The broad sense of vertigo includes dizziness. The clinical manifestations of cervical vertigo cover both manifestations. The vertigo lasts for a short period of time and prolonged dizziness may occur after the vertigo has passed. Overall vertigo and dizziness are caused by the same pathological mechanism, the difference is in the severity. In general, young patients under 50 years old have mild symptoms and dizziness only because of normal blood vessels, while older patients over 50 years old have more vascular lesions (such as atherosclerosis of vertebral basilar arteries, vascular malformations, etc.) and changes in blood flow, and patients are more prone to develop and have heavier symptoms, producing recurrent attacks, longer duration of dizziness, and can be accompanied by nausea, vomiting, tinnitus, deafness, and other symptoms. When the cervical spine lesion is aggravated, vertigo is induced, so vertigo is more often seen in elderly patients than in younger ones. In conclusion, dizziness is the main symptom caused by cervical spine pathology itself, but vertigo is more likely to occur when there are vascular pathologies and changes in blood flow. For the pathogenesis of cervical vertigo, it is generally believed that it is a vertigo syndrome caused by insufficient blood supply to the vertebral basilar artery (VBI) due to compression or (and) stimulation of the extracranial segment of the vertebral artery by cervical lesions. Since the vertebral artery has four segments in its entire length, spasm of the atlantoaxial segment and the vertebral artery of the lower cervical segment can cause transient ischemia of the vertebrobasilar artery and induce vertigo symptoms. Especially when the motion segment of the lower cervical spine is “unstable”, frequent episodes of vertigo or dizziness are more likely to occur. When cervical vertebrae are found to be retroflexed and destabilized in X-rays and other examinations, along with neck, shoulder and pillow pain, it indicates that cervical spondylosis is in its attack phase, and vertigo at this time should be related to cervical spine. First of all, it is necessary to understand whether the patient with vertigo or dizziness or lightheadedness as the main complaint is accompanied by neck pain. Does the pain occur at rest, during neck activity, or when pressing on the neck muscles. The absence of cervical pain pretty much rules out cervical vertigo. Patients with cervical vertigo can present with balance disturbances. This can be manifested by difficulty standing, twisting and walking, and reaching objects on a narrow basal plane; a feeling of unevenness when walking or standing; and a sense of darkness in the surroundings. Insufficient blood supply to the vertebral basilar artery is not necessarily the causative factor of cervical vertigo, but the real factor is the soft tissue damage in the cervical-occipital region. It can produce vertigo symptoms by indirect stimulation of the vestibular vertigo center through several links. Treatment of the damaged soft tissues of the cervico-occipital region can reduce or eliminate these stimuli and lead to the cure of the disease. The following points are related to cervical vertigo: (1) neck pain is closely related to vertigo symptoms, and some patients have positive neck torsion test; (2) history of previous neck trauma or disease, and cervical imaging such as cervical spine film, CT, MRI has clear cervical spine disease; (3) other causes of vertigo are excluded. The prevention of cervical vertigo should pay attention to the following points: 1. prevent neck trauma, and seek medical consultation in time once there is trauma; 2. avoid prolonged sitting and strengthen cervical spine health care; 3. prevent the neck and shoulder from getting cold; 4. use health pillow appropriately. Treatment of cervical vertigo: Non-surgical treatment, such as neck massage and other manipulative treatment is the basic therapy for the disease, which mainly aims at relieving symptoms by releasing the spasm of neck muscles, eliminating local inflammatory edema, reducing the excitability of nerves and eliminating the irritating factors of vertebral artery on the basis of changing the blood circulation itself. For those whose quality of life is seriously affected by unsatisfactory long-term treatment, surgical treatment can also be considered. In addition to vasodilators, sympathetic nerve stabilizing drugs and traction therapy are also used for sympathetic cervical spondylosis.