Central vertigo, also known as cerebral vertigo, is vertigo caused by neuropathy in the brain, such as the intracranial segment of the vestibular nerve, the vestibular nucleus and its fiber connections, the cerebellum, and the brain. The main features include the following: 1. Types of diseases: intracranial vascular diseases, intracranial occupying lesions, intracranial infectious diseases, intracranial demyelinating diseases and degenerative diseases, epilepsy and other brain diseases cause increased intracranial pressure and optic papilloedema, resulting in vertigo; 2. Degree of vertigo: central vertigo is less severe than otogenic vertigo and is not accompanied by violent visual rotation, nausea, vomiting and other symptoms; 3. 3. neurological signs: patients show numbness around the mouth, numbness of the tongue, choking and coughing when drinking, repeated erratic performance, unstable gait when walking, weakness of the limbs, blackness of vision, etc.; 4. spontaneous nystagmus: severe central vertigo will show spontaneous vertical or parallel nystagmus symptoms; 5. no common otogenic symptoms: no tinnitus, stuffy ears, etc. Patients with central vertigo also have blurred vision, which can be transient or persistent, and even some patients need to pay attention when they have double vision, and it is recommended to seek medical attention in time.