Sudden vertigo and nausea may be caused by Meniere’s syndrome, which can occur at any age and has a history of recurrent episodes that may last from a few days to a week or so after onset, and may be relieved by symptomatic treatment. If the patient has otoliths, the symptoms can also occur and last from a few seconds to two minutes, mainly when the patient changes position, and can be treated with repositioning and symptomatic dizziness treatment. If the patient has cerebrovascular disease, such as cerebellar infarction and hemorrhage, balance disorders and ataxia can also occur. If the patient has a posterior circulation transient ischemic attack can also be present, with symptoms lasting anywhere from a few minutes to tens of minutes and rarely more than an hour.