Otoliths are most often misdiagnosed as Meniere’s disease, inadequate blood supply to the basilar artery, cervical spondylosis, etc. The high incidence of vertigo, the most common of which is otolithiasis, is attracting more and more attention. Since there is a special treatment for otoliths, called manual repositioning, which can eliminate the disease at hand, timely and correct diagnosis of otoliths can reduce the patient’s pain and save money. The characteristics of otolithiasis are dizziness when you move, but not when you don’t move, and a short duration. If patients go to neurology, they will be told that the blood supply to the basilar artery is insufficient; because they are afraid to turn their heads, they will suffer from neck and shoulder strain for a long time, and will have neck and shoulder pain. If you consult the internal medicine department, you will be treated as food poisoning; if you have heartburn, you will be told that you have cardiac neurosis; if you consult the ENT doctor, you will be told that you have Meniere’s disease; all kinds of misdiagnosis will make the patient suffer more and spend more! Otolithiasis is misdiagnosed mainly because doctors do not know enough about otolithiasis, and I hope that the majority of patients who have this knowledge themselves will help themselves!