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- Title
Audiovestibular functions in chronic kidney disease in relation to haemodialysis.
- Authors
Gabr, T A; Kotait, M A; Okda, H I
- Abstract
Background: Several studies have reported that the audiovestibular system is affected in patients with chronic kidney disease. Objective: This study aimed to investigate how the audiovestibular system is affected in patients with various stages of chronic kidney disease. Methods: Sixty participants were divided into three groups: group 1 – controls; group 2 – chronic kidney disease patients receiving conservative treatment; and group 3 – chronic kidney disease patients undergoing regular haemodialysis. Assessments included: standard and high-frequency audiometry and otoacoustic emissions testing, oculomotor tests, and combined vestibular-evoked myogenic potentials testing. Results: Fifty per cent of group 2 and 60 per cent of group 3 had bilateral sensorineural hearing loss. High-frequency pure tone audiometry showed reduced detectability and higher thresholds at 12 kHz and 16 kHz in patients than in controls. Otoacoustic emissions, tracking, optokinetic and combined vestibular-evoked myogenic potential tests showed abnormal results in chronic kidney disease cases. Conclusion: Both the auditory and vestibular pathways are affected in different stages of chronic kidney disease. High-frequency pure tone audiometry, otoacoustic emissions and combined vestibular-evoked myogenic potentials could be performed routinely in patients with chronic kidney disease, regardless of the disease stage.
- Subjects
TREATMENT of chronic kidney failure; RISK of deafness; CHRONIC kidney failure complications; AUDIOMETRY; HEARING disorders; HEMODIALYSIS; NYSTAGMUS; OTOACOUSTIC emissions; RISK assessment; VESTIBULAR apparatus diseases; VESTIBULAR function tests; DISEASE risk factors
- Publication
Journal of Laryngology & Otology, 2019, Vol 133, Issue 7, p592
- ISSN
0022-2151
- Publication type
Article
- DOI
10.1017/S0022215119001415