-
Abstract: We describe a case of Cogan syndrome in patients with clinical manifestations, related examinations and diagnosis, treatment, and review of relevant literature. Both patients had bilateral moderate to severe sensorineural hearing loss. The collateral function test showed that there were bilateral semicircular canal paresis, and the head impulse test had a bilateral gain value between 0.09 and 0.55. It showed obvious compensatory saccade wave, the head impulse suppression test bilateral no anti-compensation saccade wave. Cogan syndrome is a rare syndrome with unspecific symptoms and early diagnosis is difficult. However, the involvement of the auditory-vestibular systems are often poor prognosis and needs to be diagnosed by early diagnosis and treatment.
-
Key words:
- Cogan syndrome /
- hearing loss /
- vestibular function
-
-
[1] ESPINOZA G M,PROST A.Cogan's syndrome and other ocular vasculitides[J].Curr Rheumatol Rep,2015,17:24.
[2] JANˇCATOVÁD,ZELENÍK K,KOMÍNEK P,et al.Atypical Cogan's syndrome:A case report and summary of current treatment options[J].Int J Pediatric Otorhinolaryngol,2015,79:428-431.
[3] AZAMI A,MALEKI N,KALANTAR HORMOZIM,et al.Interstitial keratitis,vertigo,and vasculitis:typical cogan's syndrome[J].Case Rep Med,2014,2014:1-4.
[4] YING Y L M,HIRSCH B E.Atypical Cogan's syndrome:a case report[J].Am J Otolaryngol,2010,31:279-282.
[5] KESSEL A,VADASZ Z,TOUBI E.Cogan syndrome--pathogenesis,clinical variants and treatment approaches[J].Autoimmun Rev,2014,13:351-354.
[6] GRECO A,GALLO A,FUSCONI M,et al.Cogan's syndrome:an autoimmune inner ear disease[J].Autoimmun Rev,2013,12:396-400.
[7] BONAGURI C,ORSONI J,RUSSO A,et al.Cogans syndrome:anti-Hsp70 antibodies are a serological marker in the typical form[J].Israel Med Asso J,2014,16:285-288.
[8] SUGIMOTO K,MIYAZAWA T,NISHI H,et al.Childhood Cogan syndrome with aortitis and anti-neutrophil cytoplasmic antibody-associated glomerulonephritis[J].Pediatric Rheumatol,2014,12:15-18.
[9] SEVGI D D,SOBRIN L,PAPALIODIS G N,et al.Cogan syndrome with severe medium and large vessel vasculitis[J].Digit J Ophthalmol,2016,22:32-34.
[10] TAYER-SHIFMAN O E,ILAN O,TOVI H,et al.Cogan's syndrome:clinical guidelines and novel therapeutic approaches[J].Clin Rev Allerg Immunol,2014,47:65-72.
[11] LEE L Y,AKHTAR M M,KIRRESH O,et al.Interstitial keratitis and sensorineural hearing loss as a manifestation of rheumatoid arthritis:clinical lessons from a rare complication[J].BMJ Case Rep,2012.
[12] 牛晓蓉,张青,张睿,等.突发性聋前庭功能评价的意义[J].临床耳鼻咽喉头颈外科杂志,2015,29(22):1947-1949.
[13] HIRVONEN T P,AALTO H.Recovery of bilateral vestibular loss in cogan's syndrome:A case report[J].Otol Neurotol,2013,34:1736-1738.
[14] SINGH P,GUPTA M,LEHL S S,et al.Cogan's syndrome:achievement of complete resolution of auditory deficit with steroids[J].Case Rep,2013,2013:bcr2013008951.
[15] KIM S,OH Y M,KOO J W,et al.Bilateral vestibulopathy:clinical characteristics and diagnostic criteria[J].Otol Neurotol,2011,32:812-817.
[16] 张燕梅,陈斯琦,钟贞,等.视频头脉冲试验在眩晕疾病诊断中的初步应用[J].临床耳鼻咽喉头颈外科杂志,2015,29(12):1053-1058.
-
计量
- 文章访问数: 177
- PDF下载数: 301
- 施引文献: 0