Dizziness due to vertebral arteries generally refers to vertebral artery cervical spondylosis causing dizziness, and a definitive diagnosis requires the use of MRA or vertebral artery digital shear angiography to clarify the diagnosis. The diagnosis of vertebral artery carotid disease requires a combination of clinical, physical, and imaging studies. Typical symptoms of vertebral artery cervical spondylosis include episodic dizziness, nausea, tinnitus, deafness, migraine, etc. Some patients may have sudden fainting or collapse due to cervical rotation. Physical examination is positive for cervical rotation, and head turning to the opposite side will aggravate the narrowing of the vertebral artery, thus triggering the corresponding symptoms. x-ray shows segmental vertebral instability or cervical vertebral joint osteophytes. The diagnosis is made by MRA or DSA (Digital Silhouette Angiography of the vertebral arteries). Vertebral artery angiography is an important diagnostic test because it can clearly show the different parts of the vertebral artery stenosis and the range of its location, as well as the relationship with the surrounding tissues, and determine the cause of the stenosis and distortion of the vertebral artery. It is recommended that patients seek timely medical treatment, conduct standardized examinations under the guidance of doctors, and actively treat the disease.