In this episode, Dr. Sujana Chandrasekhar, 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. Chandrasekhar 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. Chandrasekhar 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.

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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

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RESOURCES

Dr. Chandrasekhar’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 Chandrasekhar:” 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 Chandrasekhar 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