Cerebral blood supply insufficiency does not lead to otolithiasis. Cerebral blood supply insufficiency may cause the patient to have episodes of dizziness and lightheadedness if the disease is chronic in clinical practice. If it is an acute attack of cerebral blood supply insufficiency, it may cause the patient to have more severe dizziness, accompanied by unsteady walking, transient numbness and weakness on one side of the body, speech clumsiness, visual field defects and other symptoms. The reason for the formation of otolithosis is not very clear, the mechanism is mainly after the otolith particles in the equilibrium receptors are dislodged, when the person’s head position is in a specific position, the dislodged otoliths will stimulate the cell membranes of the semicircular canals, which will lead to episodes of dizziness accompanied by the symptom of rotating vision, which will last for no more than one minute. Treatment is mainly by manipulative repositioning. Otolithiasis is a self-limiting disease.