The causes of positional vertigo, also called otolithiasis, are generally divided into two categories: 1) idiopathic, which has an unclear cause and is often seen in the elderly, more often in women, and may be related to the patient’s aging, hormonal changes, and disorders of calcium metabolism and osteoporosis. 2) secondary, which is usually caused by head trauma or Meniere’s disease, sudden deafness, or infections of the middle or inner ear, or after surgery. After surgery, patients may suddenly experience a sensation of spinning in the sky, not daring to open their eyes, accompanied by nausea, vomiting, panic attacks and other symptoms. It is best to go to the ENT department of the hospital for further examination, and after the diagnosis is confirmed, the above symptoms will be significantly improved by actively performing manual repositioning.