Hearing loss in a uraemic patient: indications of involvement of the VIIIth nerve

A case of acute renal failure associated with severe uraemic hearing loss is presented. Audiometric site-of-lesion testing revealed cochlear as well as neural involvement.After therapy hearing recovered up to an almost normal level, with normal auditory nerve conduction velocities.This case report supports the suggestion that the improvement of hearing after renal transplantation or dialysis might be correlated with the influences of these forms of therapy upon the peripheral neuropathy.