Causes of BPPV: The signs and symptoms of benign paroxysmal positional vertigo (BPPV) may include: Dizziness, A sense that you or your surroundings are spinning or moving (vertigo),A loss of balance or unsteadiness,nausea and vomiting. Semicircular canals and otolith organs — the utricle and saccule — in your inner ear contain fluid and fine, hair-like sensors that help you keep your eye focused on a target when your head is in motion and assist in helping you maintain your balance.