Otogenic vertigo is vertigo caused by lesions between the vestibule of the inner ear and the extracranial segment of the vestibular nerve (not exiting the internal auditory canal), with a heavy vertigo sensation and short duration, also known as peripheral vertigo. The common causes of otogenic vertigo are: Meniere’s disease, benign episodic positional vertigo, vestibular neuronitis, vagal stroke, vagotitis, inner ear drug intoxication (often caused by toxic damage from drugs such as streptomycin and gentamicin), and motion sickness. The clinical manifestations of otogenic vertigo are: 1. The vertigo is usually rotating or swaying up, down, left or right. 2. The vertigo is severe, episodic, short-lived, usually from a few minutes to a few days, and can be repeated. 3. Patients often have tilting and nystagmus symptoms, and nystagmus is horizontal or rotational in nature. The specific clinical symptoms vary according to the causes, such as: otogenic vertigo caused by Meniere’s disease is characterized by episodic vertigo, accompanied by hearing loss, nystagmus, and in severe cases, nausea and vomiting; otogenic vertigo caused by inner ear drug poisoning is mostly progressive vertigo with tinnitus and hearing loss, often preceded by perioral and limb numbness; otogenic vertigo caused by motion sickness is common in seasickness and motion sickness, accompanied by nausea, vomiting, pallor and other symptoms. It can be seen that otogenic vertigo can be caused by a variety of causes. Patients should develop good habits, pay attention to rest and avoid straining, and actively treat the original disease to relieve vertigo symptoms.