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    Thomas W Smith MD

    TitleProfessor
    InstitutionUniversity of Massachusetts Medical School
    DepartmentPathology
    AddressUniversity of Massachusetts Medical School
    55 Lake Avenue North
    Worcester MA 01655
    Phone508-856-2331
      Other Positions
      InstitutionUMMS - School of Medicine
      DepartmentNeurology

      InstitutionUMMS - Graduate School of Biomedical Sciences
      DepartmentNeuroscience

        Overview 
        Narrative

        Academic Background:

        1972MD, Weill Medical College of Cornell University
        1972-1973 Resident (PGY1), Anatomic Pathology, New York Hospital-CornellMedical Center, New York, NY
        1973-1976 Resident, Neuropathology, Peter Bent Brigham Hospital, Boston, MA
        1977-1978 Resident, Anatomic Pathology, Peter Bent Brigham Hospital, Boston, MA

        Clinical Activities

        My clinical activities specifically focus on diagnostic neuropathology and neuromuscular pathology. I am responsible for all clinical neuropathology services at UMMHC and its affiliated hospitals. I also serve as a consultant neuropathologist for a number of hospitals in Central, Western and Southeastern Massachusetts and for the Western Massachusetts Office of the Chief Medical Examiner. I am the medical director of diagnostic electron microscopy for UMMHC hospitals.

        Teaching

        I have a strong interest in and major commitment to undergraduate and graduate medical education. My undergraduate educational activities include co-directorships of the Mind, Brain, and Behavior (MBB2) and Biology of Disease (BoD) courses for the 2nd year medical students as well as being the General Pathology block coordinator in the BoD course. I am an active lecturer and laboratory instructor in both of these courses and in the 1st year Histology and MBB1 (Neuroscience) courses. I am an active member of a number of medical school committees and working groups, including Chair of the Second Year Curriculum Committee, and am an active participant in the ongoing curriculum revision effort in the medical school. My graduate medical educational activities primarily involve teaching Neurology and Pathology residents rotating through the neuropathology service.

        Research Interests

        My research/scholarly interests have focused on clinically-related topics and include retrospective studies using archival case material and prospective clinico-pathological projects. I have also served as neuropathology consultant for individual investigators and several program projects in other UMMS departments. Recent interests have included forensic neuropathology and CNS neoplasia.



        Bibliographic 
        selected publications
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        1. Botser IB, Jackson TJ, Smith TW, Leonard JP, Stake CE, Domb BG. Open surgical dislocation versus arthroscopic treatment of femoroacetabular impingement. Am J Orthop (Belle Mead NJ). 2014 May; 43(5):209-14.
          View in: PubMed
        2. Yang C, Wang H, Qiao T, Yang B, Aliaga L, Qiu L, Tan W, Salameh J, McKenna-Yasek DM, Smith T, Peng L, Moore MJ, Brown RH, Cai H, Xu Z. Partial loss of TDP-43 function causes phenotypes of amyotrophic lateral sclerosis. Proc Natl Acad Sci U S A. 2014 Mar 25; 111(12):E1121-9.
          View in: PubMed
        3. Smith TW, Bommer WJ. Multimodality imaging in transcatheter aortic valve replacement. Rev Cardiovasc Med. 2014; 15(2):75-85.
          View in: PubMed
        4. Paradas C, Akman HO, Ionete C, Lau H, Riskind PN, Jones DE, Smith TW, Hirano M, Dimauro S. Branching enzyme deficiency: expanding the clinical spectrum. JAMA Neurol. 2014 Jan 1; 71(1):41-7.
          View in: PubMed
        5. Cornejo KM, Hutchinson L, Cosar EF, Smith T, Tomaszewicz K, Dresser K, Deng A. Is it a primary or metastatic melanocytic neoplasm of the central nervous system?: A molecular based approach. Pathol Int. 2013 Nov; 63(11):559-64.
          View in: PubMed
        6. Tisdell J, Smith TW, Muehlschlegel S. Multiple septic brain emboli in infectious endocarditis. Arch Neurol. 2012 Sep; 69(9):1206-7.
          View in: PubMed
        7. Armstrong EJ, Kwa AT, Bhat A, Romick B, Smith T, Rogers JH. Intracardiac echocardiography to guide percutaneous closure of atrial baffle defects. J Invasive Cardiol. 2012 Sep; 24(9):473-6.
          View in: PubMed
        8. Cataltepe O, Arikan MC, Ghelfi E, Karaaslan C, Ozsurekci Y, Dresser K, Li Y, Smith TW, Cataltepe S. Fatty acid binding protein 4 is expressed in distinct endothelial and non-endothelial cell populations in glioblastoma. Neuropathol Appl Neurobiol. 2012 Aug; 38(5):400-10.
          View in: PubMed
        9. Smith T, McGinty P, Bommer W, Low RI, Lim S, Fail P, Rogers JH. Prevalence and echocardiographic features of iatrogenic atrial septal defect after catheter-based mitral valve repair with the MitraClip system. Catheter Cardiovasc Interv. 2012 Oct 1; 80(4):678-85.
          View in: PubMed
        10. Javed U, Smith TW, Rogers JH. Percutaneous repair of anterior mitral leaflet perforation. J Invasive Cardiol. 2012 Mar; 24(3):134-7.
          View in: PubMed
        11. Hao S, Smith TW, Chu PG, Liu Q, Ok CY, Woda BA, Lu D, Lin P, Wang SA, Dresser K, Rock KL, Jiang Z. The oncofetal protein IMP3: a novel molecular marker to predict aggressive meningioma. Arch Pathol Lab Med. 2011 Aug; 135(8):1032-6.
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        12. Nakazato R, Tamarappoo BK, Smith TW, Cheng VY, Dey D, Shmilovich H, Gutstein A, Gurudevan S, Hayes SW, Thomson LE, Friedman JD, Berman DS. Assessment of left ventricular regional wall motion and ejection fraction with low-radiation dose helical dual-source CT: comparison to two-dimensional echocardiography. J Cardiovasc Comput Tomogr. 2011 May-Jun; 5(3):149-57.
          View in: PubMed
        13. Tamarappoo BK, Dey D, Nakazato R, Shmilovich H, Smith T, Cheng VY, Thomson LE, Hayes SW, Friedman JD, Germano G, Slomka PJ, Berman DS. Comparison of the extent and severity of myocardial perfusion defects measured by CT coronary angiography and SPECT myocardial perfusion imaging. JACC Cardiovasc Imaging. 2010 Oct; 3(10):1010-9.
          View in: PubMed
        14. Cataltepe O, Liptzin D, Jolley L, Smith TW. Diffuse villous hyperplasia of the choroid plexus and its surgical management. J Neurosurg Pediatr. 2010 May; 5(5):518-22.
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        15. Burrows AM, Smith TW, Hall WR, Pilitsis JG. Neurological picture. Ascending paralysis from malignant leptomeningeal melanomatosis. J Neurol Neurosurg Psychiatry. 2010 Apr; 81(4):449-50.
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        16. Rogers JH, Smith TW. Eliminating right-to-left shunt with patent foramen ovale closure: not as simple as it seems. JACC Cardiovasc Interv. 2009 Jun; 2(6):568-9.
          View in: PubMed
        17. Cataltepe O, Marshall P, Smith TW. Dysembryoplastic neuroepithelial tumor located in pericallosal and intraventricular area in a child. Case report. J Neurosurg Pediatr. 2009 Jun; 3(6):456-60.
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        18. Jaster JH, Ottaviani G, Matturri L, Lavezzi AM, Zamecnik J, Smith TW. Sudden unexpected death related to medullary brain lesions. Am J Forensic Med Pathol. 2008 Dec; 29(4):371-4.
          View in: PubMed
        19. Jaster JH, Ottaviani G, Zamecnik J, Smith TW. Reversible posterior leukoencephalopathy syndrome. Arch Neurol. 2008 Aug; 65(8):1135-6; author reply 1136.
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        20. Mahmud E, Smith TW, Palakodeti V, Zaidi O, Ang L, Mitchell CR, Zafar N, Bromberg-Marin G, Keramati S, Tsimikas S. Renal frame count and renal blush grade: quantitative measures that predict the success of renal stenting in hypertensive patients with renal artery stenosis. JACC Cardiovasc Interv. 2008 Jun; 1(3):286-92.
          View in: PubMed
        21. Haleem K, Lippa CF, Smith TW, Kowa H, Wu J, Iwatsubo T. Presenilin-1 C410Y Alzheimer disease plaques contain synaptic proteins. Am J Alzheimers Dis Other Demen. 2007 Apr-May; 22(2):137-44.
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        22. Lengner CJ, Steinman HA, Gagnon J, Smith TW, Henderson JE, Kream BE, Stein GS, Lian JB, Jones SN. Osteoblast differentiation and skeletal development are regulated by Mdm2-p53 signaling. J Cell Biol. 2006 Mar 13; 172(6):909-21.
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        23. Daou MC, Smith TW, Litofsky NS, Hsieh CC, Ross AH. Doublecortin is preferentially expressed in invasive human brain tumors. Acta Neuropathol. 2005 Nov; 110(5):472-80.
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        24. Salajegheh M, Rudnicki A, Smith TW. Expression of urokinase-type plasminogen activator receptor (uPAR) in primary central nervous system neoplasms. Appl Immunohistochem Mol Morphol. 2005 Jun; 13(2):184-9.
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        25. Jaster JH, Smith TW. Demyelination in the brain as a paraneoplastic disorder. Br J Radiol. 2004 Oct; 77(922):899.
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        26. Jang T, Litofsky NS, Smith TW, Ross AH, Recht LD. Aberrant nestin expression during ethylnitrosourea-(ENU)-induced neurocarcinogenesis. Neurobiol Dis. 2004 Apr; 15(3):544-52.
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        27. Rosales MY, Smith TW, Safran M. Hemorrhagic Rathke's cleft cyst presenting as diplopia. Endocr Pract. 2004 Mar-Apr; 10(2):129-34.
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        28. Jones S, Phillips N, Ali F, Fernandes JA, Flowers MJ, Smith TW. Triplane fractures of the distal tibia requiring open reduction and internal fixation. Pre-operative planning using computed tomography. Injury. 2003 May; 34(4):293-8.
          View in: PubMed
        29. Lin Y, Smith TW, Alexandridis P. Adsorption of a polymeric siloxane surfactant on carbon black particles dispersed in mixtures of water with polar organic solvents. J Colloid Interface Sci. 2002 Nov 1; 255(1):1-9.
          View in: PubMed
        30. Sweeney MA, Smith TW, Croucher M, Langner A, Miri M, Klymachyov A, Kaplan S, Tshudy D. Colloidal particles derived from a complex of phosphotungstic Acid and ethoxylated surfactants. J Colloid Interface Sci. 2002 Sep 1; 253(1):53-61.
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        31. Moore BE, Somers NP, Smith TW. Methotrexate-related nonnecrotizing multifocal axonopathy detected by beta-amyloid precursor protein immunohistochemistry. Arch Pathol Lab Med. 2002 Jan; 126(1):79-81.
          View in: PubMed
        32. Jaster JH, Fitzek S, Fitzek C, Smith TW, Becske T. Myocardial injury after hemorrhage into the lateral medulla oblongata. Neurology. 2001 Sep 25; 57(6):1145.
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        33. Guidi CJ, Sands AT, Zambrowicz BP, Turner TK, Demers DA, Webster W, Smith TW, Imbalzano AN, Jones SN. Disruption of Ini1 leads to peri-implantation lethality and tumorigenesis in mice. Mol Cell Biol. 2001 May; 21(10):3598-603.
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        34. Jaster JH, Smith TW, Gleckman AM, Currier RD, Bebin J. A medullary syndrome characterized by wild arm ataxia. Neurology. 2000 Jul 25; 55(2):321.
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        35. Gleckman AM, Jiang Z, Liu Y, Smith TW. Neuronal and glial DNA fragmentation in Pick's disease. Acta Neuropathol. 1999 Jul; 98(1):55-61.
          View in: PubMed
        36. Epstein LM, Smith TW. Initial experience with a steerable intracardiac echocardiographic catheter. J Invasive Cardiol. 1999 May; 11(5):322-6.
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        37. Gleckman AM, Bell MD, Evans RJ, Smith TW. Diffuse axonal injury in infants with nonaccidental craniocerebral trauma: enhanced detection by beta-amyloid precursor protein immunohistochemical staining. Arch Pathol Lab Med. 1999 Feb; 123(2):146-51.
          View in: PubMed
        38. Lippa CF, Smith TW, Perry E. Dementia with Lewy bodies: choline acetyltransferase parallels nucleus basalis pathology. J Neural Transm. 1999; 106(5-6):525-35.
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        39. Kotecha N, George MJ, Smith TW, Corvi F, Litofsky NS. Enhancing progressive multifocal leukoencephalopathy: an indicator of improved immune status? Am J Med. 1998 Dec; 105(6):541-3.
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        40. Gleckman AM, Smith TW. Sudden unexpected death from primary posterior fossa tumors. Am J Forensic Med Pathol. 1998 Dec; 19(4):303-8.
          View in: PubMed
        41. Litofsky NS, Pihan G, Corvi F, Smith TW. Intracranial leiomyosarcoma: a neuro-oncological consequence of acquired immunodeficiency syndrome. J Neurooncol. 1998 Nov; 40(2):179-83.
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        42. Litofsky NS, Smith TW, Megerian CA. Merkel cell carcinoma of the external auditory canal invading the intracranial compartment. Am J Otolaryngol. 1998 Sep-Oct; 19(5):330-4.
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        43. O'Sullivan KL, Pap SA, Megerian CA, Li Y, Sheffler LR, Smith TW, Lawrence WT. Improved axon diameter and myelin sheath thickness in facial nerve cable grafts wrapped in temporoparietal fascial flaps. Ann Plast Surg. 1998 May; 40(5):478-85.
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        44. Lippa CF, Johnson R, Smith TW. The medial temporal lobe in dementia with Lewy bodies: a comparative study with Alzheimer's disease. Ann Neurol. 1998 Jan; 43(1):102-6.
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        45. Aird WC, Edelberg JM, Weiler-Guettler H, Simmons WW, Smith TW, Rosenberg RD. Vascular bed-specific expression of an endothelial cell gene is programmed by the tissue microenvironment. J Cell Biol. 1997 Sep 8; 138(5):1117-24.
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        46. Silver B, McAvoy K, Mikesell S, Smith TW. Fulminating encephalopathy with perivenular demyelination and vacuolar myelopathy as the initial presentation of human immunodeficiency virus infection. Arch Neurol. 1997 May; 54(5):647-50.
          View in: PubMed
        47. Lippa CF, Pulaski-Salo D, Dickson DW, Smith TW. Alzheimer's disease, Lewy body disease and aging: a comparative study of the perforant pathway. J Neurol Sci. 1997 Apr 15; 147(2):161-6.
          View in: PubMed
        48. Lippa CF, Smith TW, Saunders AM, Hulette C, Pulaski-Salo D, Roses AD. Apolipoprotein E-epsilon 2 and Alzheimer's disease: genotype influences pathologic phenotype. Neurology. 1997 Feb; 48(2):515-9.
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        49. Vodovotz Y, Lucia MS, Flanders KC, Chesler L, Xie QW, Smith TW, Weidner J, Mumford R, Webber R, Nathan C, Roberts AB, Lippa CF, Sporn MB. Inducible nitric oxide synthase in tangle-bearing neurons of patients with Alzheimer's disease. J Exp Med. 1996 Oct 1; 184(4):1425-33.
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        50. Lippa CF, Saunders AM, Smith TW, Swearer JM, Drachman DA, Ghetti B, Nee L, Pulaski-Salo D, Dickson D, Robitaille Y, Bergeron C, Crain B, Benson MD, Farlow M, Hyman BT, George-Hyslop SP, Roses AD, Pollen DA. Familial and sporadic Alzheimer's disease: neuropathology cannot exclude a final common pathway. Neurology. 1996 Feb; 46(2):406-12.
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        51. McCann EL, Smith TW, Chad DA, Sargent J. Severe cranial nerve involvement in longstanding demyelinating polyneuropathy: a clinicopathologic correlation. Acta Neuropathol. 1996; 91(3):309-12.
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        52. Krishna M, Smith TW, Recht LD. Expression of bcl-2 in reactive and neoplastic astrocytes: lack of correlation with presence or degree of malignancy. J Neurosurg. 1995 Dec; 83(6):1017-22.
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        53. Lippa CF, Smith TW, Flanders KC. Transforming growth factor-beta: neuronal and glial expression in CNS degenerative diseases. Neurodegeneration. 1995 Dec; 4(4):425-32.
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        54. Lippa CF, Smith TW, Nee L, Robitaille Y, Crain B, Dickson D, Pulaski-Salo D, Pollen DA. Familial Alzheimer's disease and cortical Lewy bodies: is there a genetic susceptibility factor? Dementia. 1995 Jul-Aug; 6(4):191-4.
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        55. Smith TW, Lippa CF. Ki-67 immunoreactivity in Alzheimer's disease and other neurodegenerative disorders. J Neuropathol Exp Neurol. 1995 May; 54(3):297-303.
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        56. Lau KY, Ragland RL, Weaver JP, Smith TW, Knorr JR, Weyreuther M. Epidural mass related to calvarial aneurysmal bone cyst: computed tomographic and magnetic resonance demonstration. J Neuroimaging. 1995 Apr; 5(2):128-30.
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        57. Tenreiro-Picon OR, Kamath SV, Knorr JR, Ragland RL, Smith TW, Lau KY. Desmoplastic infantile ganglioglioma: CT and MRI features. Pediatr Radiol. 1995; 25(7):540-3.
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        58. Lacomis D, Chad DA, Smith TW. Proximal weakness as the primary manifestation of myotonic dystrophy in older adults. Muscle Nerve. 1994 Jun; 17(6):687-8.
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        59. Gultekin SH, Smith TW. Diffuse axonal injury in craniocerebral trauma. A comparative histologic and immunohistochemical study. Arch Pathol Lab Med. 1994 Feb; 118(2):168-71.
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        60. Tonkonogy JM, Smith TW, Barreira PJ. Obsessive-compulsive disorders in Pick's disease. J Neuropsychiatry Clin Neurosci. 1994; 6(2):176-80.
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        61. Smith TW, Nikulasson S, De Girolami U, De Gennaro LJ. Immunohistochemistry of synapsin I and synaptophysin in human nervous system and neuroendocrine tumors. Applications in diagnostic neuro-oncology. Clin Neuropathol. 1993 Nov-Dec; 12(6):335-42.
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        62. Lippa CF, Hamos JE, Smith TW, Pulaski-Salo D, Drachman DA. Vascular amyloid deposition in Alzheimer's disease. Neither necessary nor sufficient for the local formation of plaques or tangles. Arch Neurol. 1993 Oct; 50(10):1088-92.
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        63. Lippa CF, Pearson D, Smith TW. Cortical tubers demonstrate reduced immunoreactivity for synapsin I. Acta Neuropathol. 1993; 85(4):449-51.
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        64. Lippa CF, Smith TW. The indusium griseum in Alzheimer's disease: an immunocytochemical study. J Neurol Sci. 1992 Aug; 111(1):39-45.
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        65. Smith TW, De Girolami U, Hickey WF. Neuropathology of immunosuppression. Brain Pathol. 1992 Jul; 2(3):183-94.
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        66. Gelber ND, Ragland RL, Knorr JR, Smith TW, Stone BB. Intracranial metastatic adenoid cystic carcinoma: presumed hematogenous spread from a primary tumor in the parotid gland. AJR Am J Roentgenol. 1992 May; 158(5):1163-4.
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        67. Recht LD, Lew R, Smith TW. Suspected low-grade glioma: is deferring treatment safe? Ann Neurol. 1992 Apr; 31(4):431-6.
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        68. Smith TW, Lippa CF, de Girolami U. Immunocytochemical study of ballooned neurons in cortical degeneration with neuronal achromasia. Clin Neuropathol. 1992 Jan-Feb; 11(1):28-35.
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        69. Lacomis D, Smith TW, Long RR. Angiotropic lymphoma (intravascular large cell lymphoma) presenting with cauda equina syndrome. Clin Neurol Neurosurg. 1992; 94(4):311-5.
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        70. Knorr JR, Ragland RL, Smith TW, Davidson RI, Keller JD. Squamous carcinoma arising in a cerebellopontine angle epidermoid: CT and MR findings. AJNR Am J Neuroradiol. 1991 Nov-Dec; 12(6):1182-4.
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        71. Lippa CF, Cohen R, Smith TW, Drachman DA. Primary progressive aphasia with focal neuronal achromasia. Neurology. 1991 Jun; 41(6):882-6.
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        72. Strongwater SL, Woda BA, Yood RA, Rybak ME, Sargent J, DeGirolami U, Smith TW, Varnis C, Allen S, Murphy K, et al. Eosinophilia-myalgia syndrome associated with L-tryptophan ingestion. Analysis of four patients and implications for differential diagnosis and pathogenesis. Arch Intern Med. 1990 Oct; 150(10):2178-86.
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        73. Chad DA, Smith TW, Blumenfeld A, Fairchild PG, DeGirolami U. Human immunodeficiency virus (HIV)-associated myopathy: immunocytochemical identification of an HIV antigen (gp 41) in muscle macrophages. Ann Neurol. 1990 Oct; 28(4):579-82.
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        74. Lippa CF, Smith TW, DeGirolami U. Lobar atrophy with pontine neuronal chromatolysis ("ballooned" neurons). Hum Pathol. 1990 Oct; 21(10):1076-9.
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        75. Lippa CF, Smith TW, Degirolami U, Drachman DA. The indusium griseum: is it involved in Alzheimer's disease? Neurobiol Aging. 1990 Sep-Oct; 11(5):551-4.
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        76. Smith TW, DeGirolami U, Hénin D, Bolgert F, Hauw JJ. Human immunodeficiency virus (HIV) leukoencephalopathy and the microcirculation. J Neuropathol Exp Neurol. 1990 Jul; 49(4):357-70.
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        77. De Girolami U, Smith TW, Hénin D, Hauw JJ. Neuropathology of the acquired immunodeficiency syndrome. Arch Pathol Lab Med. 1990 Jul; 114(7):643-55.
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        78. Recht L, Torres CO, Smith TW, Raso V, Griffin TW. Transferrin receptor in normal and neoplastic brain tissue: implications for brain-tumor immunotherapy. J Neurosurg. 1990 Jun; 72(6):941-5.
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        79. Anwer UE, Smith TW, DeGirolami U, Wilkinson HA. Medulloblastoma with cartilaginous differentiation. Arch Pathol Lab Med. 1989 Jan; 113(1):84-8.
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        80. Deymeer F, Smith TW, DeGirolami U, Drachman DA. Thalamic dementia and motor neuron disease. Neurology. 1989 Jan; 39(1):58-61.
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        81. Lippa CF, Smith TW. Chromatolytic neurons in Werdnig-Hoffmann disease contain phosphorylated neurofilaments. Acta Neuropathol. 1988; 77(1):91-4.
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        82. Smith TW, Anwer U, DeGirolami U, Drachman DA. Vacuolar change in Alzheimer's disease. Arch Neurol. 1987 Dec; 44(12):1225-8.
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        83. Specht CS, Pinto-Lord C, Smith TW, DeGirolami U, Suran E, Marshall PC, Davidson RI. Spontaneous hemorrhage in a mixed glioma of the cerebellum: case report. Neurosurgery. 1986 Aug; 19(2):278-81.
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        84. Pinto-Lord MC, Abroms IF, Smith TW. Hyperdense cerebral lesion in childhood tuberous sclerosis: computed tomographic demonstration and neuropathologic analysis. Pediatr Neurol. 1986 Jul-Aug; 2(4):245-8.
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        85. Griffin TW, Smith TW, Levy BS, Recht LD. Synchronous occurrence of glioblastoma multiforme in a husband and wife. J Neurooncol. 1986; 4(1):75-8.
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        86. Badon SJ, Ansell J, Smith TW, Coslovsky R, Gill L, Woda BA. Diabetes insipidus caused by extramedullary hematopoiesis. Am J Clin Pathol. 1985 Apr; 83(4):509-12.
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