Endolymphatic hydrops precipitated by haemodialysis.
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.
Moffat
D A
DA
Department of Otolaryngology, Addenbrooke's Hospital, Cambridge.
Cumberworth
V L
VL
Baguley
D M
DM
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*