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Audiovestibular functions in chronic kidney disease in relation to haemodialysis

Published online by Cambridge University Press:  08 July 2019

T A Gabr ,
M A Kotait  and
H I Okda
T A Gabr*
Affiliation:
Audiovestibular Unit, Otolaryngology Head and Neck Surgery Department, Faculty of Medicine, Kafrelsheikh University, Egypt
M A Kotait
Affiliation:
Audiovestibular Unit, Otolaryngology Head and Neck Surgery Department, Faculty of Medicine, Tanta University, Egypt
H I Okda
Affiliation:
Nephrology Unit, Internal Medicine Department, Faculty of Medicine, Tanta University, Egypt
*
Author for correspondence: Dr Takwa A Gabr, Audiovestibular Unit, Otolaryngology Head and Neck Surgery Department, Faculty of Medicine, Kafrelsheikh University Hospital, Elgeesh Street, Kafrelsheikh, Egypt 33516 E-mail: takwagabr@gmail.com Fax: +2 0473 214 998
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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.

Keywords

Chronic Kidney DiseasesDialysisRenalVestibular Function TestsVestibular Evoked Myogenic Potentials
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 7 , July 2019 , pp. 592 - 599
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr T A Gabr takes responsibility for the integrity of the content of the paper

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