The hearing organs and the brain are closely associated and so the significance of the neurootlogy clinic cannot be over emphasized. Many diseases of the brain may present only with ear symptoms as ringing sensation and dizziness. In our centre, we use state of the art equipment to evaluate such conditions and apt treatment is suggested. Inner ear tumours like acoustic neuroma are managed by translabyrinthine approach. Vertigo is an incapacitating symptom for which we have a separate clinic and specialists trained to manage the same. Many causes for vertigo such as BPPV are treated successfully with exercises, liberatory maneuvers and sometimes surgery like endolymphatic sac decompression for Meniere’s disease, posterior canal occlusion for BPPV and vestibular neurectomy for resistant cases of peripheral labyrinthine vertigo.