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Volume 11
Issue 21
10.3390/jcm11216456
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Article

Significance of Temporal Muscle Thickness in Chronic Subdural Hematoma

by
Daniel Dubinski
1,*,
Sae-Yeon Won
1,
Bedjan Behmanesh
1,
Daniel Cantré
2,
Isabell Mattes
1,
Svorad Trnovec
1,
Peter Baumgarten
3,
Patrick Schuss
4,
Thomas M. Freiman
1 and
Florian Gessler
1
1
Department of Neurosurgery, Rostock University Medical Center, 18057 Rostock, Germany
2
Institute of Diagnostic and Interventional Radiology, Pediatric Radiology and Neuroradiology, Rostock University Medical Center, 18057 Rostock, Germany
3
Department of Neurosurgery, University Hospital, Schiller University Jena, 07747 Jena, Germany
4
Department of Neurosurgery, Unfallkrankenhaus Berlin, 12683 Berlin, Germany
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2022, 11(21), 6456; https://doi.org/10.3390/jcm11216456
Submission received: 21 October 2022 / Revised: 29 October 2022 / Accepted: 30 October 2022 / Published: 31 October 2022
(This article belongs to the Topic Advances in Musculoskeletal Imaging and Their Applications)
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Abstract

Background: Reduced temporal muscle thickness (TMT) was verified as an independent negative prognostic parameter for outcome in brain tumor patients. Independent thereof, chronic subdural hematoma (CSDH) is a neurosurgical condition with high recurrence rates and unreliable risk models for poor outcome. Since sarcopenia was associated with poor outcome, we investigated the possible role of TMT and the clinical course of CSDH patients. Methods: This investigation is a single-center retrospective study on patients with CSDH. We analyzed the radiological and clinical data sets of 171 patients with surgically treated CSDH at a University Hospital from 2017 to 2020. Results: Our analysis showed a significant association between low-volume TMT and increased hematoma volume (p < 0.001), poor outcome at discharge (p < 0.001), and reduced performance status at 3 months (p < 0.002). Conclusion: TMT may represent an objective prognostic parameter and assist the identification of vulnerable CSDH patients.
Keywords: temporal muscle thickness; sarcopenia; chronic subdural hematoma; recurrence; outcome; risk factors temporal muscle thickness; sarcopenia; chronic subdural hematoma; recurrence; outcome; risk factors

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MDPI and ACS Style

Dubinski, D.; Won, S.-Y.; Behmanesh, B.; Cantré, D.; Mattes, I.; Trnovec, S.; Baumgarten, P.; Schuss, P.; Freiman, T.M.; Gessler, F. Significance of Temporal Muscle Thickness in Chronic Subdural Hematoma. J. Clin. Med. 2022, 11, 6456. https://doi.org/10.3390/jcm11216456

AMA Style

Dubinski D, Won S-Y, Behmanesh B, Cantré D, Mattes I, Trnovec S, Baumgarten P, Schuss P, Freiman TM, Gessler F. Significance of Temporal Muscle Thickness in Chronic Subdural Hematoma. Journal of Clinical Medicine. 2022; 11(21):6456. https://doi.org/10.3390/jcm11216456

Chicago/Turabian Style

Dubinski, Daniel, Sae-Yeon Won, Bedjan Behmanesh, Daniel Cantré, Isabell Mattes, Svorad Trnovec, Peter Baumgarten, Patrick Schuss, Thomas M. Freiman, and Florian Gessler. 2022. "Significance of Temporal Muscle Thickness in Chronic Subdural Hematoma" Journal of Clinical Medicine 11, no. 21: 6456. https://doi.org/10.3390/jcm11216456

APA Style

Dubinski, D., Won, S.-Y., Behmanesh, B., Cantré, D., Mattes, I., Trnovec, S., Baumgarten, P., Schuss, P., Freiman, T. M., & Gessler, F. (2022). Significance of Temporal Muscle Thickness in Chronic Subdural Hematoma. Journal of Clinical Medicine, 11(21), 6456. https://doi.org/10.3390/jcm11216456

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