If the diagnosis is otolithiasis, it is recommended to see an ENT. If it is vertigo, you can see a neurologist or an ENT. Otolithiasis is categorized into idiopathic otolithiasis and secondary otolithiasis depending on the cause. 1. Idiopathic otolithiasis is a condition in which the otoliths attached to the otolithic membrane are dislodged, causing dizziness. 2. Secondary otolithiasis is caused by inflammation or ischemic damage to the semicircular canals resulting in otoliths falling out, commonly secondary to Meniere’s disease, labyrinthitis, middle ear and inner ear surgery, cochlear implants, ototoxic medications (e.g., streptomycin, gentamicin, etc.), damage, otosclerosis, chronic otitis media, and so on. Otolithiasis is usually first recommended to be seen by an ENT. If dizziness is present, but the diagnosis of otolithosis has not been confirmed, neurological disorders such as cerebral thrombosis and cerebral hypoperfusion can be consulted with neurology in order to rule out cerebral thrombosis and cerebral hypoperfusion.