Feelings of swaying, tilting, spinning, or being unbalanced are common symptoms of vertigo, which is the inability to detect or control one’s movement. A common yet imprecise complaint that causes over three million ED visits yearly is “dizziness,” which is an umbrella term for vertigo due to its highly diverse explanations. Because dizziness can mean so many different things, it is not easy to describe accurately and can lead doctors astray. Causes of vertigo might originate in the vestibular system, the periphery, or elsewhere in the body. Certain crucial provoking positions might induce an abnormal sensation of motion known as benign paroxysmal positional vertigo (BPPV). Specific eye movements, such as nystagmus, are typically elicited by the provocative situations. The etiology and the precise area of the inner ear impacted determine the nature and direction of the nystagmus.