Otolithiasis, also known as benign paroxysmal positional vertigo, is a peripheral vestibular disorder induced by changes in head position relative to the direction of gravity, manifested by recurrent episodes of transient vertigo and characteristic nystagmus, which is often self-limiting and prone to recurrence. The etiology of some benign positional vertigo is usually unknown, and some of the onset of the disease may be related to head trauma, ear diseases, and so on. This disease is mainly manifested by vertigo and nystagmus induced by the change of head position, which can be relieved by itself after a period of seizure, and is often recurrent, and may be accompanied by systemic symptoms such as nausea and vomiting. The main use of otolith reset treatment, drug therapy, vestibular rehabilitation training. It is important to note that if the patient has the manifestation of otolithosis, he should go to the hospital in time to find out the cause of the disease, and actively treat it, so as not to delay the condition.