Some outpatients complain that they often experience vertigo or shaking sensation for a very short period of time, with repeated episodes, and after the episode, they are no different from normal people. This is a new type of vertigo named only recently, vestibular paroxysm, which accounts for about 4% of vertigo outpatients. The cause of vestibular paroxysms: It is currently in the debate stage. Most experts believe that it is caused by tortuous vessels in the internal auditory tract coming into contact with the eighth pair of cranial nerves and discharging abnormally. This vascular compression is often found on MRI images, but this asymptomatic contact of the vessel with the nerve is also found clinically in 20% of patients. The main manifestations are: episodes of transient vertigo (seconds to minutes); recurrent episodes; each episode is similar; episodes can occur during quiet and activity, often accompanied by tinnitus and hearing loss. Hyperventilation test may be positive. Often has hypertension, diabetes mellitus, advanced arteriosclerosis underlying disorders. It can be triggered by rest and head turning. Diagnostic criteria: 1. Episodes of transient vertigo (seconds – minutes); 2. Special head position can induce recurrent attacks; 3. Hearing loss or tinnitus; 4. Carbamazepine treatment is effective; 5. Other central etiologies are excluded. Treatment: The main treatment is medication, Deloitte starts treatment in small doses, and after control, the dose is reduced and discontinued, and remains effective at the time of occurrence. Surgical decompression surgery can be considered for poor drug treatment.