Dizziness is a common symptom of the elderly aged 65 years old and above. Dizziness falls into two categories:narrow and broad. Dizziness defined by Barany Society is a narrow one which refers to spatial disorientation without motor illusion. We reviewed recent literature and found that the common causes of narrow dizziness in the elderly are hemodynamic orthostatic dizziness/vertigo, benign paroxysmal positional vertigo, psychologically related dizziness, decreased vestibular function, vestibular migraine, etc. We review those causes for clinicians′ reference.