Objective: To analyze the clinical characteristics of benign paroxysmal positional vertigo (BPPV) patients with claustrophobia, and to explore the precautions for diagnosis and treatment. Methods: The clinical data of 48 BPPV patients with claustrophobia were retrospectively studied, and the general conditions, examination methods, examination times, treatment times, curativetreatment, recurrence rate, psychological state, and improvement of life quality of the patients were compared with 50 idiopathic BPPV patients. Results: The total effective rate, the average number of treatments, the recurrence rate and the improvement of the quality of lifeof the two groups of patients were not significant. difference（P>0.05）. There were differences in the diagnosis rate at the first examination （P=0.019）and the recovery of social activities （P=0.000）between the two groups. Conclusion: For patients with BPPV and claustrophobia, it is recommended to check with the naked visions multiple times or follow-up visits to observe nystagmus for diagnosis. BPPV patients with claustrophobia have good curative treatment and improved quality of life. However, patients with claustrophobia may be affected in social activities after treatment and need attention. 【Keywords】benign paroxysmal positional vertigo；Vertigo；Nystagmus；claustrophobia