Otolith vertigo is a self-limiting peripheral vestibular disorder due to the dislodgement of otolith fragments from the vestibular oval capsule into the semicircular canals. It usually manifests itself in the form of short-lived rotational vertigo (no more than 1 minute), autonomic disturbances, and so on. 1. Rotational vertigo: Vertigo can be relieved by itself within 1 minute at the longest, and it often occurs when there is a change in sitting or lying position, or when a person turns over in a lying position, and may be awakened from sleep due to a vertigo attack. In severe cases, the attack may be caused by slight movements of the head, followed by a prolonged feeling of swaying or floating. The duration of a single attack is often a few seconds to dozens of seconds, rarely more than 1 minute, and may be aggravated by phases or automatically relieved, with irregular intervals. 2. Autonomic disorders: Symptoms of autonomic disorders such as nausea, vomiting, dizziness, lightheadedness, floating sensation, and inability to control balance may occur. If these conditions are met, the patient should consult the ENT department for vestibular function examination to clarify the presence of otoliths in the semicircular canals, and the symptoms can be relieved rapidly after repositioning.