The difference between central vertigo and peripheral vertigo mainly includes the following points: 1, lesion site: one is in the center, one in the periphery. Central vertigo refers to the intracranial segment of the lesion caused by the patient vertigo problems; peripheral vertigo refers to the peripheral vestibular receptors, as well as vestibular nerves of the extracranial segment of the lesions caused by vertigo; 2, the type of disease: central vertigo is the most common disease is the cerebellar brainstem infarction or hemorrhage, infections, tumors, etc.; peripheral vertigo is common is otolithiasis, Ménière’s disease, vestibular neuritis, vestibular paroxysmal disease Clinical manifestations: central vertigo symptoms can be light or heavy. The duration of general dizziness is relatively long, but it is not rotational dizziness, that is, there is no feeling of things around the turn, nausea, vomiting is not obvious, and generally does not affect hearing; peripheral vertigo dizziness is generally attacked when it is more intense, the patient will feel the sky, nausea, vomiting, sweating, and other autonomic nerve function damage, is more common. Some patients will also experience tinnitus and hearing loss. The duration of most peripheral vertigo episodes is relatively short, and may generally last several minutes or days. Most importantly, the presence of signs and symptoms of central nervous system damage, such as crooked corners of the mouth, tongue deviation, choking on water, slurred speech, etc., is a definite indication of a central lesion. Sometimes it is very difficult to differentiate between the two, so it may be necessary to use imaging and other ancillary tests to clarify.