Pearls & Oy-sters: Cogan syndrome

Abstract

Cogan syndrome refers to a chronic inflammatory disorder that typically presents with ocular inflammation and audiovestibular dysfunction. c Cogan syndrome may mimic Ménière disease (MD) by presenting recurrent audiovestibulopathy.

Clinical Reasoning: A 48-Year-Old Woman Presenting With Vertigo, Ptosis, and Red Eyes

“…Moreover, our patient did not have hearing loss, which is characteristic of Cogan syndrome. 9 Let alone the central ocular motor signs from midbrain dysfunction, our patient implicates that detection of the subtle signs of systemic inflammation is important in patients presenting with acute/subacute vestibular syndrome. 9,10 Our patient showed no evidence of recurrence of breast cancer.…”

“…9 Let alone the central ocular motor signs from midbrain dysfunction, our patient implicates that detection of the subtle signs of systemic inflammation is important in patients presenting with acute/subacute vestibular syndrome. 9,10 Our patient showed no evidence of recurrence of breast cancer. Indeed, recurrence of tumor can follow paraneoplastic syndrome.…”