Otoliths are brief, paroxysmal episodes of vertigo with horizontal or rotational nystagmus that are triggered by a rapid movement of the head to a specific position. About 1/3 of patients with vertigo have otolaryngitis, which is characterized by a sensation of spinning when getting up, falling backwards into bed or turning over in a certain direction in bed, accompanied by nausea and vomiting. The attacks of vertigo are brief, lasting a few seconds or tens of seconds, and rarely last more than a minute. So, which part of the body is affected by the disease? It turns out that the inner ear, which is hidden inside the temporal bone of the body, has not only an auditory function, but also an organ for maintaining balance. The receptors for linear acceleration and gravity are located in the ellipsoidal and bulbous sacs of the vestibule, each of which has a capsule with calcium carbonate crystals that feel changes in gravity and are shaped like stones, called otoliths. The receptors that sense angular acceleration are three hemireceptors, which are angled at 90° to each other, and all open to the vestibule. Due to head trauma, or local structural degeneration, the otoliths are dislodged from their original vestibular location and fall into the semicircular canals. When the head position changes, it causes vertigo. Which group of people is prone to otoliths? As the most common type of vertigo, middle-aged and elderly women are most likely to have attacks. However, due to the popularity and widespread use of computers, people who work at desk jobs for long periods of time are also the most at risk, so otoliths are becoming younger and younger, but the primary cause is unknown. It is possible that otoliths are related to the unpredictability of the weather. In addition, it can be caused or triggered by staying up all night, fatigue, insomnia, and trauma. In the past, the age group of patients who came for treatment of otoliths was generally in their 50s and 60s, but now there are many patients in their 20s and 30s. Not long ago, a teenage child who had been surfing the Internet for more than 10 hours continuously became dizzy and came for a checkup, and the result was otoliths. The main thing is to avoid strenuous activities in a fatigued state, which can easily lead to otoliths. Epidemiology shows that people who suffer from chronic insomnia are prone to otoliths. The rate is higher in women than in men, and women in menopause in particular are prone to otoliths. Otoliths are associated with work, psychological stress, trauma. Strenuous exercise or physiological changes are related. In addition, the accelerated pace of society and increased stress can also be a cause of otoliths.