Background: Older people develop gait and balance dysfunction that is associated with gradual onset of cerebral white matter disease. The term cerebral small vessel disease refers to a group of pathological processes with various etiologies that affect the small arteries, arterioles, venules, and capillaries of the brain. White matter disease is easily detected by neuroimaging, whereas small vessels are not, hence the term small vessel disease is frequently used to describe the parenchyma lesions rather than the underlying small vessel alterations. Aim of the work:To investigate the relationship between presence and/or absence of white matter disease identified on magnetic resonance imaging with the vestibular findings in elderly patients with dizziness.