title: Endolymphatic hydrops precipitated by haemodialysis.
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.
authors.affiliation: Department of Otolaryngology, Addenbrooke's Hospital, Cambridge.
authors.forename: D A
authors.initials: DA
authors.lastname: Moffat
authors.forename: V L
authors.initials: VL
authors.lastname: Cumberworth
authors.forename: D M
authors.initials: DM
authors.lastname: Baguley
mesh_terms: D000368:Aged; D004487:Edema / Q000209:etiology*; D004710:Endolymph; D006801:Humans; D007676:Kidney Failure, Chronic / Q000628:therapy*; D007759:Labyrinth Diseases / Q000209:etiology*; D008297:Male; D006435:Renal Dialysis / Q000009:adverse effects*