Patients with sympathetic cervical spondylosis may experience dizziness and vertigo. Sympathetic cervical spondylosis may present a series of sympathetic symptoms such as precordial pain, dizziness, vertigo, numbness of the hands, blurred vision, tinnitus, tachycardia, etc. The headache is mainly migraine and occipital pain, which may be accompanied by dizziness, which is usually not obviously related to head and neck activities. Dizziness occurs mainly because the sympathetic nerve affects the blood supply of the vertebral artery, and insufficient blood supply eventually leads to dizziness. Dizziness or vertigo usually occurs immediately after head and neck trauma, or after a varying length of time, and is more common in adolescents. Dizziness and vertigo in sympathetic cervical spondylosis should be seen immediately for targeted treatment.