The sudden onset of vertigo usually indicates a peripheral vestibular disorder (inner ear disturbance; e.g., BPPV, Ménière disease, vestibular neuritis, labyrinthitis). Symptoms of benign paroxysmal positional vertigo (BPPV) usually last a few seconds to a few minutes and are intermittent (i.e., come and go). They also may include lightheadedness, imbalance and nausea, usually as a result of a change in position (e.g., rolling over in bed, getting out of bed).