Adelaide Emergency Medicine - December 10, 2015
"David Newman-Toker of HINTS fame and Jonathan Edlow put forward TiTRATE: A Novel, Evidence-Based Approach to Diagnosing Acute Dizziness and Vertigo. The TiTrATE approach stands for timing, triggers and targeted examination.
- Using this structure, they identify 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)
