Introduction: Acute vertiginous syndrome is a set of symptoms and signs characterized by impaired balance accompanied by nausea, vomiting, sweating, illness, some symptoms predominate over others depending on the etiology.One of the most frequent reasons for consultation nes the adult is vertigo (spinning sensation involves the patient) associated with different diseases.Although in most cases the etiology is benign, in others it is a serious manifestation of disease.As people get old in our country and the increase the average life expectancy of our population is vital importance and requires us to review and take action with respect the most common diseases in this population group.For the elderly the presence of vertigo is often associated with a worsening of quality of life.Intend in this paper to present the most frequent etiologies of vertigo syndrome as literature reviews and experience of our daily work and the management of patients to assure optimal care.Objective: *Identify the most common causes of vertigo syndrome in our department of otolaryngology, Institute of Social Welfare.Material and Method: A descriptive, observational study of transverse, retrospective.Given the inclusion criteria of patients attending ENT consultation, between 2010 and 2013, to present vertigo, collecting all the data in an annex containing ta complete medical history, underlying diseases and studies required.Exclusion: incomplete medical records. Main Results:The study was performed in a total of 1140 patients of whom 740 (65%) were female and 400 (35%) male l.The age range of greater consultation was 51 to 70 years with a total of 456 patients (40%).The main symptoms reported were: 1000 patients (88%) had vertigo, followed by tinnitus present in 304 patients (27%).As the most common cause, identified at BPPV in a total of 856 patients (75%).As for improvement, 986 patients (86.5%) had good outcome in subsequent follow-ups.Conclusions: The vertiginous syndrome is a prevalent disease in our service, which specialized consultation needs to collect all data that reflects the syndrome as well as exploration and additional studies.It was identified that the most common cause is benign paroxysmal positional vertigo, the age range of most frequent presentation is between 51-70 years and generally there is other comorbidities.