TiTrATE Approach to Vertigo

TiTrATE approach stands for Timing, Triggers and Targeted Examination.

4 vestibular syndromes that are differentiated further on targeted examination:

 - Triggered episodic vestibular syndrome (eg BPPV, orthostatic hypotension)

 - Spontaneous episodic vestibular syndrome (eg Menière's, vasovagal, panic)

 - Traumatic/toxic acute vestibular syndrome (eg vertebral artery dissection, barotrauma, toxins)

 - Spontaneous acute vestibular syndrome (eg central cause)



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