Cerebrovascular vertigo is a sudden onset of intense rotational vertigo, most often accompanied by tinnitus, deafness, or nausea and vomiting, but with clarity of mind. Cerebrovascular vertigo can be caused by both hemorrhagic and ischemic diseases of the brain. It is mainly caused by ischemia and hypoxia of the vestibular nucleus due to the obstruction of blood supply of the vertebral basilar artery. Generally, the closer the lesion site is to the end of the vertebrobasilar artery, the stronger the feeling of vertigo. Common types include cervical spondylosis vertebral artery compression, carotid sinus reflex hypersensitivity, internal auditory artery thrombosis, posterior inferior cerebellar artery thrombosis, vertebral basilar artery blood supply insufficiency or cerebral infarction. Treatment can mostly use antiplatelet drugs such as aspirin, clopidogrel; vasodilator drugs such as flunarizine, nimodipine; statins such as atorvastatin; and ginkgo biloba preparations. It helps to improve the symptoms and control the condition. Patients with the above symptoms are advised to seek timely medical attention, clarify the cause of the disease under the guidance of the doctor, rationalize the treatment, and take the medication in strict compliance with the doctor’s instructions.