Vertigo and dizziness are uncommon symptoms in children. The prevalence of vertigo is 14%. However, vertigo and dizziness in children could cause late postural control, reduction in coordinating function, the emergence of paroxysmal head tilts, and repeated falling events. Vertigo in children is usually benign and mostly periphery vertigo, such as BPPV in children and otitis media. It might be caused by central vertigo. One factor of it could be fossa posterior tumors. Therefore, an accurate diagnosis is urgently required. On the other hand, vertigo in children is hardly diagnosed. Children cannot draw correctly about their vestibular grievance, temporary vertigo quality, vague clinical symptoms, confusion with behavioral symptoms, and other conditions. On top of that, results from clinical and neurophysiological vestibular examinations on children are not similar. It is because children's vestibular organs are not mature. Therefore, vertigo in children will cause anxiety in parents and practitioners. Furthermore, it may cause ineffective clinical and supporting examination. Vertigo diagnosis in children is the most complex challenge. Therefore, the diagnosis approach by using vertigo classification can simplify the process. Therefore practitioners can get a more accurate one. This article will discuss prevalence, etiology, pathophysiology, clinical manifestation, and vertigo management in children to ease daily practice.