There are many causes of neurogenic vertigo, which can be divided into two categories according to the site of lesion and clinical manifestations, mainly including central vertigo and peripheral vertigo. 1. Central vertigo: it refers to the vertigo caused by the intracranial segment of vestibular nerve, vestibular nerve nucleus, cerebellum and cerebral cortex lesions. The degree of central vertigo is mild, but the duration is long. It is common in cervical spondylosis, insufficient blood supply of vertebral-basilar artery, cerebral infarction, etc. The nystagmus is larger in amplitude, but the duration is long. Its nystagmus amplitude is larger, the tilting direction has nothing to do with the head position, the auditory damage is not obvious, and there is often cerebral nerve damage. 2. Peripheral vertigo: it refers to the vertigo caused by the lesion of vestibular receptors or extracranial section of vestibular nerve. The degree of peripheral vertigo is severe and the duration is short, which is common in labyrinthitis, Meniere’s disease, vestibular neuronitis and other diseases. Its nystagmus is small in amplitude, and the direction of tilt is related to the head position, often accompanied by tinnitus, hearing loss and autonomic symptoms, without cerebral function damage. Neurogenic vertigo is often accompanied by dizziness, tinnitus and other symptoms, and in severe cases, autonomic symptoms such as nausea, vomiting, pallor, cold sweating, and drop in blood pressure can also occur. If the corresponding clinical manifestations should be timely to the hospital for consultation and standardized treatment.