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PURPOSE To describe a case of retrobulbar optic neuritis that presented within 3 weeks of adalimumab treatment initiation. METHODS This index case was evaluated with visual field testing, brain magnetic resonance imaging, lumbar puncture, and laboratory evaluation, and treated with intravenous methylprednisolone followed by a steroid taper. RESULTS Our(More)
BACKGROUND AND PURPOSE Patients with nonlesional temporal lobe epilepsy have long been known to have abnormalities of memory. Recently, these patients have been shown to have increased diffusivity in the hippocampus. We hypothesized that in these patients, a negative correlation would exist between diffusivity measures of the mesial temporal lobe and(More)
As part of an effort to assist Chile in developing a strategic program to foster the development of the health information technology (health IT) sector over the next five to ten years, this study assesses the current state of health IT adoption and implementation in Chile, as well as the challenges and opportunities facing the sector over the coming years.(More)
PURPOSE To quantify changes in retinal microvasculature in diabetic retinopathy (DR) by using spectral-domain optical coherence tomography angiography (SD-OCTA). METHODS Retrospective, cross-sectional, observational study of healthy and diabetic adult subjects with and without DR. Retinal microvascular changes were assessed by using SD-OCTA images and an(More)
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BACKGROUND Pituitary adenoma may present with neuro-ophthalmic manifestations and, typically, rapid tumor expansion is the result of apoplexy. Herein, we present the first case of an isolated sixth cranial nerve palsy as initial feature of a rapidly expanding ACTH positive silent tumor without apoplexy. CASE PRESENTATION A 44 year old female with a(More)
Key Words: sixth nerve palsy-cavernous sinus syndrome-pituitary adenoma Conflict of Interest Statement: the authors declare that they have no competing interests; there was no grant support or research funding and no proprietary interests in the materials described Abstract A 44 year old female with a history of sarcoidosis presented with an isolated sixth(More)
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