If a patient has sudden spinning of the head due to head movement, and the symptoms worsen after head movement, it is likely to be paroxysmal positional vertigo, which will improve significantly after a few seconds. Patients need to rest with eyes closed during acute attacks and do not move their heads freely. Afterwards, they can go to the hospital for a detailed examination accompanied by their family members, and improve vestibular function tests and do postural evocation tests after going to the ENT department. If there is obvious inflammation with vestibular hypofunction, you can consider symptomatic treatment with manual repositioning. After repositioning, the patient’s vertigo should improve significantly, and at the same time, the patient can consider taking betahistine mesylate orally to improve vestibular function and further examination if necessary.