Sometimes a bout of vertigo can be seen as central vertigo or peripheral vertigo. The most common form of central vertigo is posterior circulation ischemia, where the patient experiences brainstem or cerebellar ischemia due to a slowing of blood flow in both vertebral or basilar arteries. It is usually characterized by paroxysmal vertigo, which may be accompanied by rotating vision, nausea, vomiting, as well as oblique walking and numbness of the limbs. Treatment may include antiplatelet aggregation, improvement of circulation, blood circulation and blood stasis. Sometimes a bout of vertigo is seen in peripheral vertigo, which is clinically common in Meniere’s syndrome, vestibular nerve paroxysm, otoliths, etc. Generally, Meniere’s syndrome is caused by edema in the vestibular labyrinth, and treatment can be given to reduce edema in the vestibular labyrinth and nerve nutrition treatment. Otoliths are usually associated with changes in head position, and can be treated with manual repositioning. Vestibular paroxysms are usually treated with vestibular depressants such as betahistine mesylate orally or by sedation.