Symptoms of otolithiasis are sudden, brief episodes of vertigo with nystagmus that recur when the head position changes, accompanied by nausea and vomiting. Otolithiasis is a vestibular peripheral vertigo disorder, the etiology of which is unclear in some patients, and can be secondary to ear diseases, such as otitis media, Meniere’s disease, etc. The main manifestation of this disorder is a sudden, transient vertigo with nystagmus when the head position changes. The main manifestation of this disease is transient and recurrent episodes of vertigo with nystagmus when the head position changes, with each episode rarely lasting more than a minute. Vertigo caused by otolithiasis is mostly rotational, with a few floating sensations, and is not accompanied by symptoms such as hearing loss, ear stuffiness and tinnitus, but may be accompanied by symptoms of autonomic disorders such as nausea and vomiting. Vertigo in the head position to remain unchanged soon after the disappearance, when again change the head position when the symptoms reappear, triggered by movements such as head tilt back, head forward, rapid head turning, turn over in bed, get up and lie down in bed and so on. Otolithiasis is self-limiting to some extent, but it can recur, and the main treatment is otolith repositioning.