{"id":"0943bb9d-139a-4496-ac72-a9053182f672","slug":"local-anesthesia-versus-general-anesthesia-for-evacuation-of-chronic-subdural-hematoma-in-elderly-patients-above-70-years-old","title":"Local anesthesia versus general anesthesia for evacuation of chronic subdural hematoma in elderly patients above 70 years old","authors":["Ahmed Ashry","Hieder Al-Shami","Medhat Gamal","Ahmed M Salah"],"abstract":"Background: The aim of this study was to assess the safety and efficacy of chronic subdural hematoma (CSDH) evacuation by two burr-hole craniostomies under local versus general anesthesia (GA) in elderly patients over 70 years. Methods: This retrospective study included 45 patients with CSDH aged over 70 years old treated from March 2018 to April 2020. The cases were subdivided into Group A (n = 22) that underwent evacuation under local anesthesia and Group B (n = 23) that was treated under GA. Patients’ demographics and history of comorbidities were recorded. Variables including pre- and post-operative neurological status and Markwalder’s score, complication rate, operative time, and length of hospital stay were evaluated. Results: The mean and standard deviation of patients’ age of groups (A) and (B) were 74.3 ± 2.5 and 73.2 ± 1.7 years, respectively. Postoperative Glasgow Coma Scale of group (A) was statistically higher than Group B at postoperative day 1 (P = 0.01). Operative time was statistically shorter in Group A than B (P P = 0.0001). The complication rate was found to be higher in group (B) than (A) (P = 0.044). Conclusion: Evacuation of CSDH under local anesthesia in elderly patients over 70 years is effective, safe, and economic with less complication rate than the traditional technique with GA.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/0943bb9d-139a-4496-ac72-a9053182f672/featured/hero-1781561701996.png","publishDate":"2022-01-12T00:00:00.000Z","doi":"10.25259/SNI_425_2021","categories":["Neuroanesthesia and Critical Care","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2022/01/11339/SNI-13-13.pdf"}