Highlights•Benign Paroxysmal Positional Vertigo (BPPV) was more common in women.•The proportion of men with BPPV increased with age.•Geriatric BPPV patients often had risk factors associated with atherosclerosis.•Horizontal canal-BPPV and multi-canal-BPPV were more common in geriatric patients.•The effectiveness of canalith repositioning procedure may decrease with age.