If you have unsteadiness in standing, consider whether it is caused by central vertigo or peripheral vertigo. In the case of central vertigo, hypertensive encephalopathy, cerebellar hemorrhage, cerebral arteriosclerosis, and insufficient blood supply to the vertebral basilar artery are common causes of central vertigo, which can lead to unsteadiness in standing. Peripheral vertigo is mainly caused by benign positional vertigo, vestibular neuritis, labyrinthitis, otoliths, and Meniere’s syndrome. Patients with severe anemia, malnutrition, cachexia, etc., may also have unsteadiness in standing. Common occupational lesions in the brain, such as tumors in the fourth ventricle, fibromas of the auditory nerve, and brain tumors in other areas, can also cause unsteadiness.