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Cogan's syndrome complicated by lacunar brain infarcts
1Department of Neurology, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Journal of Neurology, Neurosurgery, and Psychiatry
|February 1, 1991
Summary
Cogan's syndrome, a rare vasculitis affecting young adults, can cause neurological issues. This case highlights thalamic syndrome with amnesia and dysphasia resulting from lacunar infarcts in a patient with this condition.
Area of Science:
- Neurology
- Ophthalmology
- Rheumatology
Background:
- Cogan's syndrome is a rare autoimmune disorder.
- It is characterized by nonsyphilitic interstitial keratitis and vestibuloauditory dysfunction.
- The condition typically affects young adults and is considered a manifestation of systemic vasculitis.
Observation:
- A 32-year-old female patient presented with Cogan's syndrome.
- The patient subsequently developed neurological complications.
- These complications included thalamic syndrome, amnesia, and dysphasia.
Findings:
- The neurological deficits were attributed to lacunar infarcts.
- Lacunar infarcts are small strokes that occur in the deep portions of the brain.
- This suggests a potential link between vasculitis in Cogan's syndrome and cerebrovascular events.
Implications:
- This case underscores the potential for neurological involvement in Cogan's syndrome.
- It highlights the importance of considering cerebrovascular complications in patients with this condition.
- Early recognition and management of vasculitis may be crucial in preventing such neurological sequelae.