Posterior circulation stroke syndrome has a lesser incidence compared with anterior circulation stroke with an incidence rate of 10 to 15%. Males are commonly affected than females.Patients most commonly present with symptoms of dizziness, diplopia, dysarthria, dysphagia, and dystaxia. The hallmark of posterior circulation stroke is crossed hemiplegia with cranial nerve involvement on the same side of the lesion and motor or sensory involvement on the opposite side. We report a case of a 60-year-old woman who presented with vertigo, nausea, vomiting, unsteady gait, and tendency to fall on either side.