In this episode, Dr. Sujana Chandrashekar, neurotologist with New York City’s ENT and Allergy Associates, joins host Dr. Ashley Agan to discuss labyrinthitis.

The podcast begins by reviewing the clinical presentation of labyrinthitis, drawing on Dr. Agan’s personal experience with the condition. Then, Dr. Chandrashekar explains in-depth the physical exam of the dizzy patient, focusing on differentiating central vestibular lesions (such as strokes) from peripheral ones (such as labyrinthitis). While labyrinthitis is a self-limited condition, Dr. Chandrashekar shares strategies to mitigate the associated nausea, imbalance, and hearing loss patients find debilitating. Finally, the surgeons discuss how vestibular physical therapy and adequate rest enable prompt recovery.

---

SHOW NOTES

00:00 - Introduction
01:22 - Discussion of and Personal Experience with Labyrinthitis
08:14 - Recovery and Treatment of Labyrinthitis
11:01 - Examination and Workup of Labyrinthitis
16:11 - Understanding Nystagmus in Labyrinthitis
20:29 - Further Testing and Examination for Labyrinthitis
33:49 - Treatment for Labyrinthitis
40:53 - The Role of Physical Therapy
43:12 - Follow-up and Recovery

---

RESOURCES

Dr. Chandrashekar’s ENT and Allergy Associates Profile: https://www.entandallergy.com/find-a-doctor/sujana-s-chandrasekhar-md-facs/

Backtable ENT Ep. 87 – “Sudden Sensorineural Hearing Loss with Dr. Sujana Chandrashekar:” https://www.backtable.com/shows/ent/podcasts/87/sudden-sensorineural-hearing-loss

“The Ten-Minute Examination of the Dizzy Patient,” J.A. Goebel: https://pubmed.ncbi.nlm.nih.gov/11774054/

“She’s On Call” Podcast featuring Dr. Sujana Chandrashekar and Dr. Maurina Kurian: https://podcasts.apple.com/us/podcast/shes-on-call-weekly-medical-show/id1582727930

“Otolaryngologic Clinics” Podcast hosted by Consulting Editor Sujana S. Chandrasekhar, features in-depth discussions and commentary on the articles in each issue by the guest editors themselves.
Otolaryngologic Clinics (Elsevier) on Apple Podcasts