Dialysis disequilibrium syndrome revisited: Feeling "Disequilibrated" due to inner ear dyshomeostasis?

Abstract:

:Dizziness is one of the most common hemodialysis-associated symptoms, and has been thought to be caused by cerebral edema or intravascular hypovolemia. However, the possibility of a peripheral vestibular disturbance due to hemodialysis has not been addressed as a cause of hemodialysis-associated dizziness. In the present study, we propose a new hypothesis accounting for hemodialysis-associated dizziness, i.e., the decrease in serum osmolality due to rapid removal of urea during dialysis causes inner ear fluid dyshomeostasis, leading to density difference between perilymph and endolymph.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Kim CH,Shin JE,Park JH

doi

10.1016/j.mehy.2019.109262

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

109262

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(19)30490-6

journal_volume

129

pub_type

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