Patients with cerebellar atrophy may experience dizziness. In clinical practice, multiple system atrophy that leads to cerebellar degeneration and spinal cerebellar ataxia often present with symptoms of dizziness. Generally, dizziness is very common when there is a lesion in the cerebellum. However, some patients may show significant cerebellar atrophy on imaging but actually do not exhibit symptoms of dizziness. Therefore, the condition can vary from person to person. There are many causes of cerebellar atrophy, including some cerebrovascular diseases that can lead to cerebellar atrophy, with symptoms such as dizziness and ataxia. The key to treating cerebellar atrophy is to properly identify and address the underlying cause.