[Dizziness in old age]

Dizziness is a frequent and often multifactorial symptom in older patients that can significantly impair the quality of life. The causes are diverse and differ from younger patients. Polyneuropathy, orthostatic dysregulation, drug-related causes, positional vertigo and bilateral vestibulopathy are more frequent in old age. A detailed and vertigo-specific patient history, including the assessment of risk factors such as frailty, polypharmacy and comorbidities, is essential for the diagnostics. The treatment depends on the underlying cause and includes physiotherapeutic interventions as well as adjustments to the medication.