ABSTRACT
Arachnoid cysts constitute 1% of all intracranial space-occupying lesions. These typically produce vague and nonspecific symptoms. However, a subset of these lesions can produce constellation of signs and symptoms indistinguishable from those causing peripheral vertigo. We discuss the presentation of a giant arachnoid cyst which presented with dizziness and mimicked benign paroxysmal vertigo of childhood (BPVC).