Vertigo is a very common symptom in neurology, and vertigo is divided into peripheral vertigo and central vertigo. The cause of vertigo should be determined by the specific cause of the patient and the related symptoms, as well as the underlying medical history and physical examination: 1. If the patient feels vertigo is episodic and related to the change of head position, otolithiasis should be considered; 2. If the patient has vertigo with tinnitus and otolaryngitis, and hearing loss after repeated attacks, Meniere’s disease should be considered; 3. If the vertigo occurs suddenly, accompanied by unstable walking and ataxia, it should be considered that it may be caused by cerebral infarction or cerebral hemorrhage, which is mainly seen in the lesions of cerebellar parts; 4. Patients who feel vertigo may also be caused by multiple sclerosis.