Unsteady walking is a balance disorder, seen in posterior circulation transient ischemic attack, the symptoms are episodic, lasting mostly 10-15 minutes, rarely more than 1 hour, and the symptoms can be completely relieved within 24 hours, mostly occurring in middle-aged and elderly people, most of whom have a history of hyperlipidemia, diabetes mellitus and hypertension. It may also be caused by severe hypotension due to the dislodgement of vascular plaque in the neck. It is mainly caused by applying drugs to activate blood circulation and improve blood circulation, as well as controlling the cause of the disease and applying aspirin or clopidogrel and anti-platelet coagulation therapy if necessary. It can also occur when there is cerebellar or brainstem infarction or hemorrhage, and the symptoms are persistent. Cranial CT and MRI can clarify the diagnosis, and prompt hospitalization is required after the onset.