Motor postural vertigo is benign paroxysmal positional vertigo, also known as otolithiasis, a form of vertigo associated with changes in body position. The cause of benign paroxysmal positional vertigo is unknown in about half of the patients, and it is categorized into idiopathic and secondary. 1. Idiopathic vertigo is most common in the elderly and women, and may be related to accelerated otolith degeneration, decreased absorption capacity and decreased stability of otoliths due to aging, while changes in hormone levels, calcium metabolism disorders, and osteoporosis may also be predisposing factors. 2. Secondary to other otological or systemic diseases. The most common causes are head trauma and vestibular neuritis, others are: Meniere’s disease, sudden deafness, middle ear or inner ear infections and surgeries, long-term bed rest, etc. The disease is self-limiting. The disease is somewhat self-limiting, with a natural course of days to months, rarely more than a year, but can be recurrent. The most effective method is otolith reset, but when combined with other diseases, or when there are symptoms such as dizziness and balance disorders after reset, medications to improve microcirculation of the inner ear, such as betahistine and ginkgo biloba extract, etc., can be given, and vestibular rehabilitation can be performed. It is recommended that patients seek timely medical treatment and standardize treatment to avoid delay.