Positional vertigo is vertigo caused by changes in the position of the body’s central axial range, called postural vertigo, and there are three main disorders: 1, otoliths are the most common type of postural vertigo, and experienced doctors can make a correct diagnosis through positional test examinations and choose the correct maneuver for reset treatment. A single manipulative repositioning treatment may reset the otolith and quickly relieve vertigo symptoms.2. Vestibular migraine, which can present with various types of dizziness or vertigo, including postural vertigo. Treatment may include oral flunarizine, betahistine mesylate, and the application of zolmitriptan nasal spray.3. Acute cerebellar infarction can lead to postural vertigo, which should be examined by cranial MRI to confirm the diagnosis. Thrombolytic therapy or arterial thrombolytic therapy can be given within 4.5 hours of the onset of the disease, and aspirin can be taken orally for a long time to prevent recurrence of cerebral infarction.