Pneumolabyrinth can result from traumatic luxation of stapes into the vestibule. The diagnosis of stapes luxation following a head injury can be delayed especially if the otoscopic examination is within normal limits. Here a 15-year-old girl presenting with vertigo and nystagmus following a blunt head injury was presented, whose computerized tomography revealed air in the vestibule and cochlea (pneumolabyrinth) and stapes was found to be luxated into the vestibule. (c) 2005 Elsevier Ireland Ltd. All rights reserved.