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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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Cranial Nerve VI Palsy Emergency

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domingo, 1 de mayo de 2016

TiTrATE your approach to vertigo

Adelaide Emergency Physicians
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.

titratefig1
    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)