Benign paroxysmal positional vertigo (BPPV) is a self-limiting conditi
on characterized by vertigo and nystagmus induced by certain head posi
tions. The most common causes of BPPV are post-traumatic following hea
d injury and post-viral labyrinthitis. We present an interesting case
of BPPV following an otherwise uneventful neurosurgical removal of a p
arietal osteoma using hammer and chisel. Caution should be exercised d
uring such procedures as disabling vertigo can result for a considerab
le period of time.