Benign paroxysmal positional vertigo is most common cause of recurrent positional vertigo. However, recurrent positional vertigo also could result from pathology of central nervous system. The aim of this article is to review the clinical characteristics for recurrent positionally induced vertigo. Various diagnostic and therapeutic procedure are discussed for this condition, which could provide useful clues for differentiating central positional vertigo from positional vertigo originated from pathology of peripheral vestibular system.