INTRODUCTION: Benign Paroxysmal Vertigo of Childhood (BPVC) manifests as vertigo without cochlear symptoms (tinnitus, hearing loss), and is frequently accompanied by pallor, nausea, vomiting and sweating. These symptoms are sometimes preceded by migraine. The condition typically arises during the first 4 years of life. The Nintendo Wii Fit Plus (NWFP) has been used to assist in rehabilitation. Use of this device improves postural control through visual, auditory and motor activities; utilizes integrating systems; and improves patient compliance with the treatment regimen. OBJECTIVE: Verify the effectiveness of therapeutic intervention in a child with BPVC by using NWFP as a tool for vestibular rehabilitation therapy. CASE REPORT: G.L.A.B. was a 10-year-old girl who first presented with vertigo and headache, without any other medical abnormalities. Her symptoms were refractory to treatment, and the child was advised to perform vestibular adaptation exercises at home. The patient was advised to use an NWFP for therapy sessions, in order to strengthen the vestibulo-ocular reflex, vestibulospinal reflex and integration among the proprioceptive, and visual and vestibular systems. RESULTS: After 5 sessions, the child showed improvements in terms of static and dynamic balance of the lower limbs and hips, and reported that her symptoms had resolved completely. CONCLUSION: The use of NWFP as a therapeutic instrument for vestibular rehabilitation was effective in improving postural control, balance, and sensory system integration in a child with BPVC
