BPPV is a disease provoked by abrupt head movements,results in short paroxysmal vertigo or nystagmus.These patients often can accurately describe the dizziness happened when they head move suddenly,especially when looking upward,turning over in bed,lying down,or bending over.BPPV is divided into idiopathic BPPV and secondary BPPV,in most cases.The underlying cause cannot be determined,which is called idiopathic;however,in 30% patients,BPPV may be attributed to a specific cause and is termed secondary BPPV.We reviewed the pathogenesis,mechanisms,clinical features,treatment and the latest progress of secondary BPPV.