Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-18T18:53:20.228Z Has data issue: false hasContentIssue false

Hearing loss in a uraemic patient: indications of involvement of the VIIIth nerve

Published online by Cambridge University Press:  29 June 2007

J. C. Anteunis Lucien*
Affiliation:
Department of Otorhinolaryngology, Division of Audiology, Academic Hospital, University of Limburg (the Netherlands).
M. V. Mooy Mooy
Affiliation:
Department of Internal Medicine, Division of Nephrology, Academic Hospital, University of Limburg (the Netherlands).
*
Lucien J. C. Anteunis, Department of Otorhinolaryngology, Division of Audiology, Academic Hospital, University of Limburg, P.O. Box 1918, NL-6201 BX Maastricht, The Netherlands.

Abstract

A case of acute renal failure associated with severe uraemic hearing loss is presented. Audiometric site-of-lesion testing revealed cochlear as well as neural involvement.

After therapy hearing recovered up to an almost normal level, with normal auditory nerve conduction velocities.

This case report supports the suggestion that the improvement of hearing after renal transplantation or dialysis might be correlated with the influences of these forms of therapy upon the peripheral neuropathy.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1987

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Albertazzi, A., Di Paolo, B., Capelli, P., Spisni, C. and Del Rosso, G. (1985) Evoked potentials in uremia. Contributions to Nephrology, 45: 6068.CrossRefGoogle ScholarPubMed
Alport, A. D. (1927) Hereditary familial congenital hemorrhagic nephritis. British Medical Journal, 1: 504506.CrossRefGoogle Scholar
Asbury, A. K. (1975) Uremic neuropathy. In Diseases of the peripheral nervous system. Saunders Company, London, pp. 982992.Google Scholar
Beany, G. P. E. (1964) Otolaryngeal problems arising during the management of severe renal failure. Journal of Laryngology and Otology, 78: 507515.CrossRefGoogle Scholar
Bergstrom, L., Jenkins, P., Sando, I. and English, G. M. (1973) Hearing loss in renal disease: clinical and pathological studies. Annals of Otology, Rhinology and Laryngology, 82: 555576.CrossRefGoogle ScholarPubMed
Bergstrom, L., Thompson, P. and Wood, R. P. II (1979) New patterns in genetic and congenital otonephropaties. Laryngoscope, 89: 177184.CrossRefGoogle Scholar
Bolton, C. R., Baltzan, M. A. and Baltzan, R. B. (1971) Effects of renal transplantation on uremic neuropathy. New England Journal of Medicine, 284: 11701175.CrossRefGoogle ScholarPubMed
Cashman, M. Z. and Rossman, R. N. (1983) Diagnostic features of the auditory brainstem response in indentifying cerebellopontine angle tumors. Scandinavian Audlblogy, 12: 3541.CrossRefGoogle Scholar
McDonald, T. J., Zincke, H., Anderson, C. F. and Ott, N. T. (1978) Reversal of deafness after renal transplantation in Alport's syndrome. Laryngoscope, 88: 3842.CrossRefGoogle ScholarPubMed
Eggermont, J. J., Don, M. and Brackmann, D. E. (1980) Electrocochleography and auditory brain-stem electric responses in patients with pontine angle tumors. Annals of Otology, Rhinology and laryngology. Supplement 75: 119.CrossRefGoogle Scholar
Fee, W. E. Jr (1980) Aminoglycoside ototoxity in the human. Laryngoscope, 90: 119.CrossRefGoogle ScholarPubMed
Gleeson, M. J. (1984) Alport's syndrome: Audiologi-cal manifestations and implications. Journal of Laryngology and Otology, 98: 449465.CrossRefGoogle ScholarPubMed
Herrman, C. Jr, Aguilar, M. J. and Sacks, O. W. (1964) Hereditary photo myoclonus associated with diabetes mellitus, deafness, nephropathy and cerebral dysfunction. Neurology, 14; 212221.CrossRefGoogle Scholar
Hutchinson, J. C. Jr and Klodd, D. A. (1982) Elec-trophysiologic analysis of auditory, vestibular and brain stem function in chronic renal failure. Laryngoscope, 92: 833843.CrossRefGoogle ScholarPubMed
Johnson, D. W. and Mathog, R. H. (1976) Hearing function and chronic renal failure. Annals of Otology, Rhinology and Laryngology, 85: 4349.CrossRefGoogle ScholarPubMed
Kligerman, A. B., Solangi, K. B., Ventry, I. M., Goodman, A. I. and Wesely, S. (1981) Hearing impairment associated with chronic renal failure. Laryngoscope, 91: 583592.CrossRefGoogle ScholarPubMed
Miller, H., Joseph, D. J., Corad, R. L. and McCabe, B. F. (1970) Alport's syndrome. Archives of Otolaryngology, 92: 419432.CrossRefGoogle ScholarPubMed
Mitschke, H., Schmidt, P., Kopsa, H. and Zazgornik, J. (1975) Reversible uremic deafness after successful renal transplantation. New England Journal of Medicine, 292: 10621063.CrossRefGoogle ScholarPubMed
Mitschke, H., Schmidt, P., Zazgornik, J., Kopsa, H. and Pils, P. (1977) Effect of renal transplantation on uremic deafness; a long-term study. Audiology, 16: 530534.CrossRefGoogle ScholarPubMed
Neilsen, V. K. (1970) Recovery from peripheral neuropathy after renal transplantation. Acta Neurologica Scandinavia, Supplementum 46: 207208.CrossRefGoogle Scholar
Quick, C. A. (1976) Hearing loss in patients with dialysis and renal transplants. Annals of Otology, Rhinology and Laryngology, 85: 776790.CrossRefGoogle ScholarPubMed
Rizvi, S. S. and Holmes, R. A. (1980) Hearing loss from hemodialysis. Archives of Otolaryngology, 106: 751756.CrossRefGoogle ScholarPubMed
Rizzo, P. A., Pierelli, F., Pozzessere, G., Verardi, S., Casciani, C. V. and Morocutti, C. (1982) Pattern visual evoked potentials and brain stem auditory evoked responses in uremic patients. Acta Neurologica Belgica, 82: 7279.Google ScholarPubMed
Rosenberg, A. L., Bergstrom, L., Troost, B. T. and Bartholomew, B. A. (1970) Hyperuricemia and neurologic deficits. New England Journal of Medicine, 282: 992997.CrossRefGoogle ScholarPubMed
Scherg, M. and Speulda, E. W. (1982) Brainstem auditory evoked potentials in the neurologic clinic: improved stimulation and analysis methods. In Clinical applications of evoked potentials in neurology. Raven Press, New York, pp. 221–218.Google Scholar
Selters, W. A. and Brackmann, D. E. (1977) Acoustic tumor detection with brainstem electric response audiometry. Archives of Otolaryngology, 103: 181187.CrossRefGoogle Scholar
Strenge, H. (1980) The blink reflex in chronic renal failure. Journal of Neurology, 222: 204214.CrossRefGoogle ScholarPubMed
Thompson, P., Wood, R. P. II and Bergstrom, L. (1980) Erythromycin ototoxicity. Journal of Otolaryngology, 9: 6062.Google ScholarPubMed
Tyler, H. R. and Gottlieb, A. A. (1965) Peripheral neuropathy in uremia. 8th International Congress of Neurology, Proceedings, Part 2; 351–356.Google Scholar