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As the global population ages, the demand for neurosurgical interventions in the geriatric population is increasing. This demographic presents unique challenges due to age-related physiological changes, comorbidities, and altered responses to surgical stress. This review explores the special considerations required for neurosurgical procedures in elderly patients, emphasizing the importance of a multidisciplinary approach to preoperative assessment, intraoperative management, and postoperative care.
Key aspects include the impact of age on brain plasticity and recovery, the increased risk of perioperative complications, and the need for tailored anesthetic and surgical strategies. The paper also discusses the ethical considerations surrounding surgical decision-making in this population, particularly regarding quality of life and the balance between risks and benefits.
Advances in minimally invasive techniques, enhanced recovery protocols, and the integration of geriatric principles into neurosurgical practice are highlighted as critical factors in improving outcomes for elderly patients. The review concludes by advocating for further research to optimize neurosurgical care in this growing and vulnerable population, ensuring that interventions are both safe and effective while respecting the unique needs of older adults.
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