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Hearing loss from hemodialysis

S S Rizvi, R A Holmes

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |December 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Dialysis can cause profound hearing loss in patients with kidney failure. Osmotic changes during hemodialysis may damage the auditory system, leading to deafness.

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    Area of Science:

    • Nephrology
    • Ototoxicology
    • Auditory Neuroscience

    Background:

    • Chronic progressive renal failure is a serious condition requiring renal replacement therapy.
    • Hearing function is crucial for quality of life and patient communication.
    • The potential ototoxicity of dialysis treatments has been a subject of clinical observation.

    Observation:

    • A 47-year-old male with normal hearing developed progressive hearing loss during peritoneal dialysis and hemodialysis.
    • The patient ultimately experienced profound bilateral deafness.
    • Postmortem examination revealed significant damage to the inner ear's auditory and vestibular structures.

    Findings:

    • The endolymphatic system of the inner ear collapsed.
    • Edema and atrophy affected specialized sensory cells in the auditory and vestibular organs.

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  • These pathological changes were directly correlated with the dialysis treatments.

    • Implications:

    • Hemodialysis-induced osmotic disequilibrium is a likely cause of sensorineural hearing loss in renal failure patients.
    • This finding highlights the need for audiological monitoring in patients undergoing dialysis.
    • Further research is warranted to explore preventative strategies against dialysis-related ototoxicity.