Pneumolabyrinth is diagnosed by the presence of air inside the inner ear.1 We report the case of a healthy 9-year-old girl who developed dizziness and vomiting after inserting a hairpin in her itching ear. On examination she presented signs of left vestibulopathy (right-beating nystagmus on head shaking test and refixation saccade on head impulse test to the left) and evidence of trauma to the eardrum on otoscopy, without perforation. Pure tone audiometry did not show cochlear lesion. The temporal bone computed tomography revealed air in the left vestibule.

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