In evaluating a patient with dizziness, the history remains the main source of information for diagnosis. Peripheral labyrinthine abnormalities are responsible for the majority of vertiginous symptoms. These disorders may be multifactorially caused or secondary to trauma and inflammation. Diagnostic testing may be of some assistance in corroborating a diagnosis. Medical therapy and dietary restrictions remain the main treatment modalities along with physical rehabilitation. In some patients, however, surgical intervention is indicated.