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Redness, pain in the eyes and extreme sensitivity to bright light or photophobia are some of the other ocular symptoms of Cogan’s syndrome. Hearing loss which is often bilateral in nature progresses to complete deafness, within two years of the initial onset of this condition. Dysfunction of the vestibuloauditory system due to inflammation of the delicate tissues which line the inner ear is primarily responsible for vertigo. Blood vessel inflammation, which is  common among patients suffering from this rare immune disorder, can also cause vertigo. Young children are usually diagnosed with Cogan’s syndrome when they experience difficulty in holding their balance. Photophobia along with severe vertigo can cause individuals suffering form Cogan’s syndrome to experience nausea. Myalgia, anthralgia, fever and chills are some of the other non specific symptoms of Cogan’s syndrome.
In fluid build up, the ear fails to drain resulting in the eardrum or the tiny bones of the middle ear unable to vibrate as sound passes through the ear canal. This disorder which affects young adults (between the ages of 20 and 30) is typified by vestibuloauditory dysfunction and interstitial keratitis. Cogan, described for the very first time the specific symptoms of this serious inflammatory disorder. Individuals who suffer from this particular inflammatory disorder may experience progressive loss of vision.

Photophobia which is a common symptom of Cogan’s disorder can trigger massive migraine headaches. Initially a person who is suffering from this rare inflammatory disorder may experience mild to moderate loss of hearing.
Adopting an aggressive treatment strategy is the best and probably the only way to avoid profound deafness among Cogan’s syndrome patients. Vertigo, which is different from dizziness, is basically a feeling that objects in an individual’s immediate environment are moving or spinning uncontrollably.
Once again the onset of acute nausea among Cogan’s syndrome patients is linked to vestibulo-auditory dysfunction.
Without these required vibrations, signals to the cochlea are hindered, thus preventing impulses from reaching the brain, resulting in hearing loss. The excessive inflammation in the eyes and the ears, which is a hallmark of this disorder, is due to the immune system launching an attack on the delicate tissues that line the inner eyes and the ears.
Besides affecting eyesight and auditory functions, Cogan’s syndrome can also cause major organ damage due to inflammation of the blood vessels.
This is usually remedied by a surgical procedure that implants a tiny tube in the eardrum to allow for draining.
People who have started to lose weight all of a sudden should get themselves checked for this dangerous immune disorder.

The severity of balance problems in an individual suffering from Cogan’s disorder depends on the extent of the disease condition. These tubes are not removed, instead as the child grows, the tubes eventually just fall out. This lack of co-ordination among patients suffering from Cogan’s syndrome increases their risk of suffering falls. My own daughter had this procedure when she was 2 years old, due to fluid build up.When large amounts of wax build up is the cause, removal will restore hearing.
If this is a constant problem your doctor can provide a treatment regimen consisting of regular visits to soften the wax for later removal.
Mechanical obstructions can be removed to restore hearing, but must be done by a professional. The danger lies in pushing the obstruction further into the ear canal, and without the right tools should not be attempted by any lay person.Conductive hearing loss can also be attributed to abnormal bone growth inside the auditory canal.
This needs to be done for 7-10 days or until the infection has been eliminated.Otosclerosis can be treated through surgery thus eliminating conductive hearing loss.

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