Clinical Characteristics and Surgical Outcomes of Super-Elderly Patients with Chronic Subdural Hematoma

OBJECTIVE: Surgical intervention for chronic subdural hematoma (CSDH) in the extremely aged population mains a difficult challenge. This study aims to investigate the clinical characteristics and surgical outcomes twist drill craniotomy (TDC) of CSDH in super-elderly years) patients.METHODS: A retrospective analysis of super-elderly patients with CSDH who underwent TDC treatment hospital between January 2013 and December 2021 performed. Their clinical characteristics and surgical comes were compared with those of relatively younger patients (60-79 years). Factors that may affect functional outcomes were also investigated. RESULTS: Fifty-nine super-elderly patients and 133 tients aged 60-79 years were included. The preoperative hematoma volume of the super-elderly patients significantly larger than that of the 60-79 years whereas fewer super-elderly patients had headaches compared with the relatively younger counterparts. surgical treatment using the TDC procedure, the incidence of complication and the hematoma recurrence rate similar between the 2 groups. Moreover, according Markwalder score of the follow-up at 6 months operation, the prognosis of the super-elderly group was poorer than that of the patients of 60-79 years (P = Preoperative dysfunction of coagulation (odds ratio, 95% confidence interval, 1.185-681.677; P = 0.039) was independent risk factor significantly related to unfavorable outcomes of super-elderly patients with CSDH. CONCLUSIONS: Advanced age per se does not seem to be a contraindication for the operative intervention of CSDH. Surgical treatment using the TDC procedure can still provide considerable benefits for super-elderly patients with CSDH.