Vertigo can be divided into 2 major categories: 1. Peripheral vertigo: including: Meniere’s disease, vestibular neuritis, benign paroxysmal positional vertigo, etc. Some vestibular system diseases can involve both peripheral vestibular and central vestibular centers. Examples include giant auditory neuromas, inferior anterior cerebellar artery infarction, head trauma, and syndromes due to alcoholism. Other diseases may affect the vestibular nerve roots in the brainstem (localized desuccination in multiple sclerosis, similar to vestibular neuronitis), an area where the symptoms of the central vestibular system and the peripheral vestibular system switch. 2. Central vertigo: damage, lesions below the vestibular nucleus; and vertigo caused by lesions of the vestibular system including the vestibular nucleus and above, defined as central vertigo. Most central vertigo syndromes have a specific site but no specific etiology. For example, the etiology may be vascular, autoimmune, inflammatory, tumor, toxic or traumatic.