Vertigo and balance disorders are common symptoms which force elderly people seek aid of doctors of various specialties. Results of the studies of the most common causes of vertigo and imbalance in patients older than 60 years are described. It is demonstrated that in the studied patients, the most common causes of vertigo were diseases of the peripheral vestibular systems, dyscirculatory encephalopathy and multisensory insufficiency. Based on the conducted research, an algorithm for clinical evaluation of patients with vertigo is suggested. Peculiarities of treatment of the most common diseases associated with vertigo in elderly patients are considered.