文献中关于老年人平衡失调的报道不多。为此,作者温习了1974年一年间共740例年逾65岁,主诉头晕的病例。经详细的神经耳科学检查,587例(79％)诊断为原发性老年性平衡失调,153例(21％)系因特殊病因所致,包括美尼尔氏病62例,听神经瘤11,血管疾病25,其他如前庭神经元炎、颈性眩晕、中枢性眩晕、Dandy综合征、流行性眩晕、外伤后眩晕、 The literature on the elderly imbalances reported little. To this end, the author reviewed a total of 740 cases of more than 65 years old in 1974, complained of dizziness. After a detailed auditory neurological examination, 587 patients (79%) were diagnosed with primary age-related balance disorders and 153 (21%) were due to specific causes, including 62 Meningore’s disease, acoustic neuroma 11, Vascular disease 25, others such as vestibular neuritis, cervical vertigo, central vertigo, Dandy syndrome, epidemic dizziness, post-traumatic dizziness,