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Endolymphatic hydrops precipitated by haemodialysis

  • D. A. Moffat (a1), V. L. Cumberworth (a1) and D. M. Baguley (a1)

Abstract

We report a case of endolymphatic hydrops preceded by haemodialysis in the contralateral ear of a patient with known Menière's disease, and discuss the possible mechanism. It is suggested that the sudden decrease of plasma osmolality during haemodialysis acts as a reverse glycerol test. The audiometric and electrophysiological recordings pre- and post- dialysis and the induction of the Menière's triad of symptoms during dialysis, were strongly indicative of the presence of endolymphatic hydrops.

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Corresponding author

D. A. Moffat F.R.C.S., Department of Otolaryngology, Addenbrooke's Hospital, Hills Road, Cambridge CB2 2QQ

References

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Durrant, J. P., Dallos, P. (1974) Modification of DF summating potential components by stimulus biasing. Journal of the Acoustical Society of America, 56: 562570.
Hallpike, C. S., Cairns, H. (1938) Pathology of Menière's syndrome. Journal of Laryngology and Otology, 53: 625655.
Klockhoff, I., Lindblom, U. (1966) Glycerol test in Meniere's disease. Act Otolaryngologica, Supplement 224: 449.
Moffat, D. A., Gibson, W. P. R., Ramsden, R. T., Booth, J. B. (1978) Transtympanic electrocochleography during glycerol dehydration. Acta Otolaryngologica, 85: 158166.
Moffat, D. A. (1979) Transtympanic electrocochleography in Menière's disease: variation in the amplitude of the summating potential related to clinical status. British Journal of Audiology, 13: 149152.

Endolymphatic hydrops precipitated by haemodialysis

  • D. A. Moffat (a1), V. L. Cumberworth (a1) and D. M. Baguley (a1)

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