Walking drift may be caused by lesions in the cerebellum, mainly seen in cerebrovascular disease, including cerebral hemorrhage and cerebral infarction. Cerebral hemorrhage starts during activity, and common causes include hypertension and cerebral atherosclerosis, aneurysms, and arteriovenous malformations. Cerebral infarction starts in the quiet state, and the main etiologies include cerebral atherosclerosis, hyperlipidemia, diabetes mellitus, hypertension, and hyperhomocysteinemia, and patients should be promptly hospitalized for comprehensive treatment if they develop. It may also be caused by cerebellar atrophy, which mostly occurs in elderly people over 60 years old. Patients with chronic onset of the disease mainly present with dizziness, balance disorders, ataxia, and also intentional tremor. Cerebellar atrophy may also be caused if the patient has a long history of heavy alcohol consumption. Cerebellar atrophy, for which there is no specific treatment, can be treated with early application of Olacitant and Piracetam to improve cerebral metabolism, and also with drugs to improve blood circulation, such as Danshen and Ginkgo biloba drops and blood sparing, which may slow down the progress of the patient’s disease.