First-Line Treatment for Cogan's Syndrome

Cogan's syndrome requires a structured first-line approach. Treatment is guided by the pattern and severity of involvement, with established protocols specifying the class of therapy, route, and sequencing.

First-line management centres on systemic corticosteroid therapy. In cases with cochleo-vestibular involvement, intratympanic steroid injection may be considered as adjunctive therapy alongside the systemic regimen. The full protocol — including agent selection, administration route, and clinical sequencing — is available below.