Korean J Neurotrauma.  2013 Oct;9(2):47-51. 10.13004/kjnt.2013.9.2.47.

A Comparative Study of Local versus General Anesthesia for Chronic Subdural Hematoma in Elderly Patients Over 60 Years

Affiliations
  • 1Department of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University College of Medicine, Seoul, Korea. jy407.yang@samsung.com

Abstract


OBJECTIVE
The purpose of this study is to compare the surgical and anesthetic complications of the local and general anesthesia in chronic subdural hematoma (CSDH) patients.
METHODS
We retrospectively analyzed the medical record and brain CT of CSDH patients over 60-years-old, who were treated surgically in our institution between January 2005 and December 2012.
RESULTS
One hundred six patients with CSDH were enrolled for this study and 61 patients had a burr hole craniostomy under the local anesthesia. In local anesthesia group, surgical complication was not increased than general anesthesia group. But in general anesthesia group, heart disease such as arrhythmia, acute myocardial infarction was relatively increased than local anesthesia group (p=0.04). And the hospitalization period of local anesthesia group was shorter than that of general anesthesia group (p=0.001).
CONCLUSION
In this present study, there was no significant difference of surgical complications between the local and general anesthesia group. But the general anesthesia group had more cardiovascular complications and longer hospitalization periods. In conclusion, when we planned the burr hole craniostomy for the elderly patients with CSDH, local anesthesia should be considered more actively for postoperative prognosis.

Keyword

Chronic subdural hematoma; General anesthesia; Postoperative complications

MeSH Terms

Aged*
Anesthesia, General*
Anesthesia, Local
Arrhythmias, Cardiac
Brain
Heart Diseases
Hematoma, Subdural, Chronic*
Hospitalization
Humans
Medical Records
Myocardial Infarction
Postoperative Complications
Prognosis
Retrospective Studies
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