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1. Full Text Patency of the ophthalmic artery after flow diversion treatment of paraclinoid aneurysms: Clinical article
by Puffer, Ross C and Kallmes, David F and Cloft, Harr Y. J and Lanzino, Giusepp E
Journal of Neurosurgery, ISSN 0022-3085, 04/2012, Volume 116, Issue 4, pp. 892 - 896
Flow diverter | Intracranial | Ophthalmic artery | Aneurysm | Patency | Vascular disorders | Interventional neurosurgery | Pipeline embolization device
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2. Full Text Avoidance of scapular winging while approaching tumors of the middle scalene region
by Puffer, Ross C and Stone, Jonathan and Spinner, Robert J
Acta Neurochirurgica, ISSN 0001-6268, 9/2019, Volume 161, Issue 9, pp. 1937 - 1942
Large tumors arising from the middle scalene region can displace the middle scalene muscle and distort regional anatomy, placing nerves at risk. Understanding... 
Brachial | Plexus | Neurosurgery | Neuroradiology | Neurology | Surgical Orthopedics | Medicine & Public Health | Scapular | Minimally Invasive Surgery | Approach | Interventional Radiology | Technique | Winging | SURGERY | PARALYSIS | INJURY | WINGED SCAPULA | CLINICAL NEUROLOGY | ANATOMY | BREAST-CANCER PATIENTS | LONG THORACIC NERVE | Pathology | Injury prevention | Planes | Clavicle | Nerves | Muscles | Thorax | Anatomy | Lesions | Morbidity | Tumors
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3. Full Text Venous sinus stenting for idiopathic intracranial hypertension: a review of the literature
by Puffer, Ross C and Mustafa, Wessam and Lanzino, Giuseppe
Journal of NeuroInterventional Surgery, ISSN 1759-8478, 09/2013, Volume 5, Issue 5, pp. 483 - 486
Idiopathic intracranial hypertension (IIH) is characterized by headache, papilledema, visual field changes and tinnitus with elevated cerebral spinal fluid... 
TRANSVERSE SINUS | SURGERY | PRESSURE | PLACEMENT | STENOSIS | EFFICACY | OBSTRUCTION | TUMOR | FOLLOW-UP | PSEUDOTUMOR CEREBRI SYNDROME | NEUROIMAGING | NERVE SHEATH DECOMPRESSION | Body Mass Index | Pseudotumor Cerebri - drug therapy | Follow-Up Studies | Headache Disorders, Secondary - therapy | Humans | Middle Aged | Male | Treatment Outcome | Pseudotumor Cerebri - physiopathology | Intracranial Pressure | Young Adult | Pseudotumor Cerebri - surgery | Endovascular Procedures - methods | Headache Disorders, Secondary - etiology | Adolescent | Tinnitus - etiology | Pseudotumor Cerebri - complications | Adult | Female | Tinnitus - therapy | Child | Cranial Sinuses - surgery | Stents | Cohort Studies | Hypertension | Studies | Headaches | Sinuses
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4. Full Text The medial safe zone for treating intraneural ganglion cysts in the tarsal tunnel: a technical note
by Puffer, Ross C and Spinner, Robert J
Acta Neurochirurgica, ISSN 0001-6268, 10/2019, Volume 161, Issue 10, pp. 2129 - 2132
Intraneural ganglion cysts in the tarsal tunnel are rare but are being increasingly reported. The cysts involve the tibial or plantar nerves and are most... 
Neurosurgery | Tibial | Ganglion | Neuroradiology | Neurology | Surgical Orthopedics | Tunnel | Medicine & Public Health | Minimally Invasive Surgery | Cyst | Intraneural | Tarsal | Interventional Radiology | SURGERY | PERONEAL | ARTICULAR BRANCH | CLINICAL NEUROLOGY | LATERAL PLANTAR | Photographs | Artists impression drawings | Tibial nerve | Cysts | Joints | Nerves
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5. Full Text Synovial Sarcoma of the Nerve—Clinical and Pathological Features: Case Series and Systematic Review
by Burks, Stephen Shelby and Puffer, Ross C and Cajigas, Iahn and Valdivia, David and Rosenberg, Andrew E and Spinner, Robert J and Levi, Allan D
Neurosurgery, ISSN 0148-396X, 12/2019, Volume 85, Issue 6, pp. E975 - E991
Synovial sarcoma of the nerve is a rare entity with several cases and case series reported in the literature. Despite an improved understanding of the biology,... 
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6. Full Text Perioperative Outcomes in Intracranial Pleomorphic Xanthoastrocytoma
by Gaba, Prakriti and Puffer, Ross C and Hoover, Jason M and Wharen, Robert E and Parney, Ian F
Neurosurgery, ISSN 0148-396X, 05/2016, Volume Publish Ahead of Print, Issue 1, p. 105
BACKGROUND:Patients with pleomorphic xanthoastrocytoma (PXA) routinely undergo multiple procedures to ensure recurrence-free survival and are resultantly at... 
Pediatrics | Patients | Mortality
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7. Full Text H3K27 trimethylation loss in malignant peripheral nerve sheath tumor: a systematic review and meta-analysis with diagnostic implications
by Lu, Victor M and Marek, Tomas and Gilder, Hannah E and Puffer, Ross C and Raghunathan, Aditya and Spinner, Robert J and Daniels, David J
Journal of Neuro-Oncology, ISSN 0167-594X, 9/2019, Volume 144, Issue 3, pp. 433 - 443
Multiple studies have reported the loss of trimethylation at lysine (K) 27 on histone 3 (H3K27me3) in high-grade malignant peripheral nerve sheath tumors... 
Neurology | Sensitivity | Medicine & Public Health | Lysine | Malignant peripheral nerve sheath tumor | Trimethylation | Oncology | MPNST | H3K27me3 | Diagnosis | Analysis | Tumors | Systematic review | Methylation | Peripheral nerves
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8. Full Text Extensive perineural spread of an intrapelvic sciatic malignant peripheral nerve sheath tumor: a case report
by Puffer, Ross C and Marek, Tomas and Stone, Jonathan J and Raghunathan, Aditya and Howe, Benjamin M and Spinner, Robert J
Acta Neurochirurgica, ISSN 0001-6268, 9/2018, Volume 160, Issue 9, pp. 1833 - 1836
Perineural spread has been described in multiple neoplasms of neural and non-neural origin. The peripheral nervous system may represent a highway by which... 
Recurrence | Perineural | Neurosurgery | Intradural | Neuroradiology | MPNST | Neurology | Pathology | Spread | Surgical Orthopedics | Medicine & Public Health | Minimally Invasive Surgery | Interventional Radiology | SURVIVAL | SURGERY | CLINICAL NEUROLOGY | Peripheral nervous system | Peripheral nerves | Radiation | Case reports | Nervous system | Neoplasms | Metastases | Chemotherapy | Sheaths | Autopsy | Surgery | Nerves | Infiltration | Lesions | Sciatic nerve | Tumors
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9. Full Text Synchronous Development of Multicentric Malignant Peripheral Nerve Sheath Tumors: Institutional Review
by Peters, Pierce A and Kaszuba, Megan C and Raghunathan, Aditya and Puffer, Ross C and Spinner, Robert J
World Neurosurgery, ISSN 1878-8750, 04/2019, Volume 124, pp. e312 - e314
Malignant peripheral nerve sheath tumors (MPNSTs) are rare soft tissue sarcomas, with approximately 50% occurring in patients diagnosed with neurofibromatosis... 
Synchronous | MPNST | Malignant peripheral nerve sheath tumor | Multicentric | SURGERY | PREVALENCE | CLINICAL NEUROLOGY | Medical records | Relapse | PET imaging | Sarcoma | Diseases
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10. Full Text Bilateral Brachial Plexus Injury After MiraDry Procedure for Axillary Hyperhidrosis
by Puffer, Ross C and Bishop, Allen T and Spinner, Robert J and Shin, Alexander Y
World Neurosurgery, ISSN 1878-8750, 04/2019, Volume 124, pp. 370 - 372
Multiple treatments are available for primary axillary hyperhidrosis including noninvasive, microwave-based thermal treatments designed to destroy sweat glands... 
MiraDry | Bilateral brachia plexus injury | Axillary hyperhidrosis | MICROWAVE DEVICE | SURGERY | CLINICAL-EVALUATION | CLINICAL NEUROLOGY | Hyperhidrosis
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11. Full Text Putative mechanisms for spread and transformation of cutaneous T‐cell lymphoma to neurolymphomatosis
by Puffer, Ross C and Dyck, P. James B and Paul, Pritikanta and Broski, Stephen M and Amrami, Kimberly K and Spinner, Robert J
Muscle & Nerve, ISSN 0148-639X, 11/2019, Volume 60, Issue 5, pp. E30 - E33
T cells | Lymphomas
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12. Full Text Melorheostosis Causing Compression of Common Peroneal Nerve at Fibular Tunnel
by Puffer, Ross C and Sabbag, Orlando D and Logli, Anthony L and Spinner, Robert J and Rose, Peter S
World Neurosurgery, ISSN 1878-8750, 08/2019, Volume 128, pp. 1 - 3
Melorheostosis is a bone hyperostosis disorder characterized by flowing bone thought to occur in a sclerodermal distribution. These bony lesions often arise in... 
Nerve | Melorheostosis | Compression | Hyperostosis | Peroneal | SURGERY | SCLEROTOME | CLINICAL NEUROLOGY
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13. Full Text Long-term outcome in traumatic brain injury patients with midline shift: a secondary analysis of the Phase 3 COBRIT clinical trial
by Puffer, RC and Yue, JK and Mesley, M and Billigen, JB and Sharpless, J and Fetzick, AL and Puccio, A and Diaz-Arrastia, R and Okonkwo, DO
JOURNAL OF NEUROSURGERY, ISSN 0022-3085, 08/2019, Volume 131, Issue 2, pp. 596 - 603
OBJECTIVE Following traumatic brain injury (TBI), midline shift of the brain at the level of the septum pellucidum is often caused by unilateral... 
clinical trial | trauma | CT-SCAN | MORTALITY | CRITERIA | SURGERY | MODERATE | MULTICENTER | traumatic brain injury | MIDDLE-CEREBRAL-ARTERY | CLINICAL NEUROLOGY | PREDICTION | ACUTE SUBDURAL-HEMATOMA | SEVERE HEAD-INJURY | TBI | midline shift | outcome
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14. Full Text Mortality rates after emergent posterior fossa decompression for ischemic or hemorrhagic stroke in older patients
by Puffer, Ross C., M.D and Graffeo, Christopher, M.D and Rabinstein, Alejandro, M.D and Van Gompel, Jamie, M.D
World Neurosurgery, ISSN 1878-8750, 2016, Volume 92, pp. 166 - 170
Abstract Introduction Cerebellar stroke causes major morbidity in the aging population. Guidelines from the American Stroke Association recommend emergent... 
Neurosurgery | Emergent | Decompression | Fossa | Mortality | Posterior | SURGERY | SPONTANEOUS CEREBELLAR HEMORRHAGE | MANAGEMENT | CLINICAL NEUROLOGY | SURGICAL DECOMPRESSION | TRIAL | HEMICRANIECTOMY | INFARCTION | Brain Ischemia - complications | Age Factors | Follow-Up Studies | Humans | Middle Aged | Stroke - complications | Glasgow Outcome Scale | Male | Intracranial Hemorrhages - surgery | Stroke - surgery | Intracranial Hemorrhages - mortality | Decompression, Surgical - methods | Aged, 80 and over | Aging | Female | Aged | Brain Ischemia - mortality | Stroke - mortality | Intracranial Hemorrhages - complications | Brain Ischemia - surgery | Stroke (Disease) | Aged patients | Health aspects
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15. Full Text Odontoid Fractures and the Silver Tsunami: Evidence and Practice in the Very Elderly
by Graffeo, Christopher S and Perry, Avital and Puffer, Ross C and Carlstrom, Lucas P and Chang, Wendy and Mallory, Grant W and Clarke, Michelle J
Neurosurgery, ISSN 0148-396X, 08/2016, Volume 63, Issue CN_suppl_1, pp. 113 - 117
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16. Full Text Division of Sacrospinous and Sacrotuberous Ligaments Expands Access Through Greater Sciatic Foramen: Anatomic Study with Application to Resection of Greater Sciatic Foramen Tumors
by Iwanaga, J and Puffer, RC and Watanabe, K and Spinner, RJ and Tubbs, RS
WORLD NEUROSURGERY, ISSN 1878-8750, 08/2019, Volume 128, pp. E970 - E974
OBJECTIVE: Tumors of the greater sciatic foramen remain difficult to treat. They often have both intrapelvic and extrapelvic components that may limit... 
Sacrotuberous ligament | DEEP PELVIC ABSCESSES | SURGERY | Dumbbell tumor | DRAINAGE | TRANSGLUTEAL APPROACH | Greater sciatic foramen | Sacrospinous ligament | Sciatic nerve | CLINICAL NEUROLOGY | Surgery | Tumors
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17. Full Text The implications of intradural extension in paraspinal malignant peripheral nerve sheath tumors: Effects on central nervous system metastases and overall survival
by Gilder, Hannah E and Puffer, Ross C and Bydon, Mohamad and Spinner, Robert J
Journal of Neurosurgery: Spine, ISSN 1547-5654, 12/2018, Volume 29, Issue 6, pp. 725 - 728
OBJECTIVE In this study, the authors sought to compare tumors with intradural extension to those remaining in the epidural or paraspinal space with the... 
Extension | Paraspinal | Oncology | Intradural | Survival | MPNST | Metastases | SURGERY | metastases | extension | paraspinal | survival | intradural | oncology | CLINICAL NEUROLOGY | Nerve Sheath Neoplasms - mortality | Humans | Middle Aged | Nerve Sheath Neoplasms - diagnosis | Lumbosacral Region - pathology | Male | Spinal Neoplasms - mortality | Neurofibrosarcoma - diagnosis | Neoplasm Recurrence, Local - pathology | Nervous System - pathology | Neoplasm Metastasis - pathology | Nerve Sheath Neoplasms - surgery | Neurofibrosarcoma - mortality | Adult | Female | Lumbosacral Region - surgery | Neurofibrosarcoma - surgery | Neoplasm Staging | Spinal Neoplasms - surgery
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18. Full Text Low-Grade Malignant Peripheral Nerve Sheath Tumor Mimicking Schwannoma: Role and Importance of Trimethylated H3K27M Staining
by Gilder, Hannah E and Puffer, Ross C and Spinner, Robert J and Raghunathan, Aditya and Bydon, Mohamad
World Neurosurgery, ISSN 1878-8750, 09/2018, Volume 117, pp. 178 - 181
It is important to differentiate low-grade malignant peripheral nerve sheath tumors (MPNSTs) from benign nerve sheath tumors as MPNSTs may require a more... 
Transformation | Trimethylated | H3K27M | MPNST | Schwannoma | SURGERY | CLINICAL NEUROLOGY | Cervical cancer | Radiation | Cancer
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19. Full Text Response
by Graffeo, Christopher S and Perry, Avital and Puffer, Ross C and Carlstrom, Lucas P and Chang, Wendy and Mallory, Grant W and Clarke, Michelle J
Journal of Neurosurgery: Spine, ISSN 1547-5654, 01/2017, Volume 26, Issue 1, pp. 2 - 3
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20. Full Text Recovery Trajectories and Long-Term Outcomes in Traumatic Brain Injury: A Secondary Analysis of the Phase 3 Citicoline Brain Injury Treatment Clinical Trial
by Puffer, Ross C and Yue, John K and Mesley, Matthew and Billigen, Julia B and Sharpless, Jane and Fetzick, Anita L and Puccio, Ava M and Diaz-Arrastia, Ramon and Okonkwo, David O
World Neurosurgery, ISSN 1878-8750, 05/2019, Volume 125, pp. e909 - e915
Prospects for recovery after traumatic brain injury (TBI) are often underestimated, potentially leading to withdrawal of care in the comatose TBI patient who... 
Clinical | TBI | Trial | Trajectory | Recovery | Outcomes | MORTALITY | SURGERY | TEMPORAL PROFILE | SCALE | CLINICAL NEUROLOGY
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