There are many reasons for the sudden appearance of vertigo when a patient gets up from sleep, which should be analyzed by combining the patient’s underlying diseases, the duration of vertigo, and whether there are accompanying symptoms: First, if the patient has transient vertigo during the process of turning the head, it should be considered to be caused by otoliths, which can be treated by doing manual reset. Secondly, if the elderly have hypertension, diabetes, hyperlipidemia and other underlying diseases, and suddenly vertigo appears when they get up from sleep, if the vertigo symptoms persist without relief and are accompanied by ataxia such as unstable walking, it should be considered to be caused by acute cerebrovascular disease, such as new cerebral infarction, mild cerebral hemorrhage, transient ischemic attack. Thirdly, if the patient gets up from a nap and suddenly gets vertigo, if it is accompanied by tinnitus and stuffy ears, it should be considered as Meniere’s disease.