Balance disturbances and Vestibular testing are among of the most encountering issues in the ENT clinic. Vertigo and balance disorders affect 30% of the general population before the age of 65 years. With the elderly it is a serious condition as fall is a major cause of death , the percentage in this age group is higher and it is estimated that 33% of aged between 65 and 75 with no history of Vestibular dysfunction encounter a significant fall annually, comparing to 40% of the people aged over 75. Early detection and intervention in these cases can improve the quality of life, as well as decrease the disability and reduce the health care costs (1). It is important for the treating Physician to establish a systemic process for taking the history of the patient, and to implement a structured ENT and Neurologic examination, in order to administer a rational treatment.