本文报道中枢性眩晕58例,多为中老年人。椎—基底动脉供血不足占首位,其次是脑血管病变。大多数伴有头痛,耳鸣、耳聋不多;眼震多为垂直性,眩晕程度与眼震不相称;部分病人尚有颅神经病理体征。病初85％误诊为美尼氏综合征,误诊原因主要是认识不足。 This article reports 58 cases of central vertigo, mostly in the elderly. Vertebrobasilar insufficiency dominated, followed by cerebrovascular disease. Most accompanied by headache, tinnitus, deafness is small; mostly nystagmus vertical, degree of vertigo and nystagmus disproportion; some patients still have cranial neuropathological signs. 85% of the patients were misdiagnosed as Meniere’s Syndrome early in the disease, the main reason of misdiagnosis was lack of understanding.