Clinical features and literature review of Cogan’s syndrome with bilateral internal carotid artery occlusion

doi:10.3868/j.issn.2096-0689.2020.01.004

Journal of Translational Neuroscience

2020, Vol. 5

Issue (1) : 27-32 https://doi.org/10.3868/j.issn.2096-0689.2020.01.004

Case Report

Clinical features and literature review of Cogan’s syndrome with bilateral internal carotid artery occlusion

Yi Bao, Quanying Liu, Xiaoling Wang, Ying Wang, Miao Zhang, Juan Xuan, Guangjian Liu

Department of Neurology, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan, Hubei 442000, China

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Abstract Cogan’s syndrome is rare. The purpose of this article is to describe a Cogan’s syndrome case characterized by bilateral internal carotid artery occlusion and to review the literature. Treatment remedies: we showed a patient with vertigo, nausea and retching, blurred vision, unclear speech. And the whole cerebral angiogram of the patient showed bilateral internal carotid artery occlusion without obvious neurological deficit. After differential diagnosis, compared with classic Cogan’s syndrome, granulomatous polyvasculitis (GPA), rheumatoid arthritis (RA), systemic lupus erythematosus (SLE), the patient was considered as Cogan’s syndrome. Post treatment evaluating: the patient did not significantly improve vertigo after vascular bypass therapy. Conclusions: Cogan’s syndrome may cause severe vascular occlusion. The patient had no clinical symptoms; and the chronic occlusion caused by vascular inflammation may be the reason, so that there was enough time for compensation.

Keywords Cogan’s syndrome granulomatous polyvasculitis (GPA) digital subtraction angiography (DSA) compensation artery occlusion

Issue Date: 30 March 2020

Cite this article:

Yi Bao, Quanying Liu, Xiaoling Wang, Ying Wang, Miao Zhang, Juan Xuan, Guangjian Liu. Clinical features and literature review of Cogan’s syndrome with bilateral internal carotid artery occlusion[J]. Journal of Translational Neuroscience,2020, 5(1): 27-32.

URL:

https://academic.hep.com.cn/jtn/EN/10.3868/j.issn.2096-0689.2020.01.004
https://academic.hep.com.cn/jtn/EN/Y2020/V5/I1/27

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