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The 60-year-old Awami League chief, who suffered ear injuries in a 2004 grenade attack on a party rally, was examined by doctors at a makeshift jail in the parliament complex.
"If she is not sent abroad for treatment she could become permanently deaf as her proper treatment is not possible here," leading ENT specialist Pran Gopal Dutta told reporters after her medical examination on Sunday.
Dutta said Hasina had become "totally deaf" in her left ear and she hears "very little" in her right ear.
"At present she tries to understand others' voice by reading the lips," the doctor said.
The doctors visited her after she appeared in a special court in the same compound for her indictment in a second
corruption charge.
Lawyers and witnesses said she looked "pale" as she entered the courtroom.
"If she is not feeling well she may leave the court, but the hearing will continue as we have to complete the trial in a limited timeframe," judge Firoz Alam said as Hasina's counsels pleaded for deferring the hearing because of her illness.
Hasina, who was arrested on July 16 last year under the military-backed interim government's massive anti-graft drive, has been suffering from multiple ailments including serious complications in her ears after surviving the attack on her rally which killed 24 others.

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SHEIKH HASINA IN BANGLADESH PRISON GETTING COMPETELY DEAF. INDIA GOVT MAY KINDLY VERYIMMEDIATELY ARRANGE FOR THE TREATMENT AND CURE OF SHEIKH HASIN. FOR THIS SHE MAY BEBROUGHT TO INDIA FOR PROPER TREATMENT ANDCURE IMMEDIATELY.
RE: AILING OF LD HASINA WITH EAR GETTING COMPLETELY DEAF. INDIAN GOVT MAY KINDLYARRANGE IMMEDIATE MEDICAL ATTENTION TOSHEIKH HASINA
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