Vestibular organs provide sensory information about motion and spatial orientation, along with the visual and somatosensory information, and are essential for postural control and gait. Therefore the normal function of these three sensory inputs (visual, vestibular and somatosensory) is crucial in a child development. Vestibular receptor lesions in children affect the ability of learning to read and write and in fine and gross skills. Benign paroxyismal positional vertigo (BPPV) is the most common cause of vertigo and is related to the displacement of fragments of otolith organs (otoconia debris) into semicircular canals, mainly in the posterior semicircular canal. Clinical presentation of BPPV in children, characteristic of the positional nystagmus, frequent etiology of BPPV in the childhood, BPPV linked with otologic disease and testing for BPPV have been discussed throughout this chapter.