Vertigo is a common nonspecific complaint of patients who present to emergency department. Vertigo is caused by disturbance of the central processing of sensory signals from the vestibular apparatus that provide information regarding the position of the body in space. An important aspect in the management of patients with vertigo in the emergency department is the differentiation of associated acute stroke syndromes due to peripheral causes.1 Patients with chronic subdural haematoma can present with atypical manifestations like vertigo and nystagmus adding a lot more confusion to diagnosis