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) #Titrate #algorithm #vestibular #syndrome #diagnosis #acute #vertigo