Dizziness, lack of clarity in the brain, sudden onset of vertigo, feeling of unevenness when walking, feeling of shaking oneself, feeling of floating in bed …… Almost everyone experiences dizziness, lightheadedness, vertigo and even syncope in their lifetime. There are more than 100 causes of “dizziness”: transient ischemic attack, cerebellar infarction, brainstem infarction, benign paroxysmal positional vertigo, Meniere’s disease, vestibular paroxysm, vestibular neuronitis, chronic subjective vertigo …… These 100 causes involve more than 10 specialties. For a long time, there are many misunderstandings in the treatment of dizziness in China, for example, a large number of benign paroxysmal positional vertigo (otoliths) are diagnosed as “cerebral infarction” and “cervical spondylosis”; some patients with chronic subjective vertigo are diagnosed as Some patients with chronic subjective vertigo are diagnosed as “cerebral blood supply deficiency”; a large number of patients with otoliths do not receive good treatment and suffer from the discomfort and pain caused by the disease for a long time …… How to solve these problems? I. Treatment The multidisciplinary joint vertigo treatment team is an internationally respected and effective method that plays an important role in the treatment of vertigo diseases. Through the integrated medical treatment by multidisciplinary experts, it can help patients solve their consultation problems in one stop, quickly clarify the causes of the disease and take timely targeted treatment. The vertigo clinic can not only diagnose the cause of vertigo in a short period of time, so that vertigo can be treated in time, but can also perform manual repositioning of benign paroxysmal positional vertigo to quickly solve the problem. For some patients with chronic refractory vertigo, standardized vestibular rehabilitation training can be provided, and good results can be received in a short time. Classification 1. Benign paroxysmal positional vertigo, also known as otoliths, is the most common type of vertigo in the population. The disease is caused by the otolith dislodged from the ellipsoidal sac of the inner ear falling into the semicircular canal. When the position of the head suddenly changes, the otolith debris is displaced in the semicircular canal, thus producing vertigo. The main manifestation is a brief spinning-like sensation, usually lasting no more than 1 minute, usually induced after a change in head position, such as lying down or getting up, turning over in bed, and tilting the head backward or forward. A small percentage of patients exhibit more persistent vertigo and a sense of imbalance, and vertigo symptoms usually worsen after a change in head position. Many patients experience vertigo attacks with nausea and sometimes vomiting. During daily activities, patients are prone to falls and injuries. The best treatment for these patients is otolith manipulation, and most of them will be cured by this treatment. The second most common type of vertigo is chronic subjective vertigo. Patients with this disease feel dizzy for a long time, but the dizziness they feel is not the “spinning sensation”, but often described to the doctor as dizziness, light-headedness and unsteadiness, some people feel “internal rotation of the head”, and sometimes they feel the floor and the road moving from bottom to top. Sometimes the floor and pavement feel like they are moving from bottom to top. The symptoms are more pronounced when objects are moving in the environment, such as when walking down the street or shopping in the supermarket. Most people with chronic subjective vertigo (93%) have symptoms such as sleep disturbances and anxiety. The antidepressants given to people with this disease will have a good effect, and the more persistent patients with chronic subjective vertigo can also be well controlled by means of vestibular rehabilitation. 3. Vestibular paroxysm This disease is mostly caused by the abnormal impulses generated by the vascular compression of the vestibulocochlear nerve in the brain, which leads to hearing loss, tinnitus and vertigo due to the dysfunction of the vestibular and cochlear nerves. In addition to frequent transient vertigo, patients with this disease often experience episodes of unsteadiness, nausea and vomiting, unilateral tinnitus, ear swelling, numbness around the ear, and in some cases, mild headache or head swelling, pins and needles sensation in the head, unilateral hearing loss, blurred vision, weakness, fear, confusion, and diarrhea. Patients diagnosed with this disorder who are taking antiepileptic drugs such as carbamazepine are very effective, and patients with very persistent vestibular paroxysms who do not respond well to medication may also be treated surgically with adequate evaluation. In addition, Meniere’s disease, vestibular migraine, posterior circulation ischemia, and vestibular neuritis are among the more common vertigo disorders. As seen above, the problem of vertigo involves multidisciplinary diseases such as neurology, otology, psychology, orthopedics, etc. Therefore, only through a comprehensive examination and evaluation jointly conducted by multiple disciplines can the cause of vertigo be uncovered and the treatment of vertigo can hit the bull’s eye.