Johans SJ, et al. – The aim of this retrospective review was to identify the preoperative and intraoperative risk factors for complications in the elderly undergoing an elective craniotomy. This investigation identified factors that anticipate perioperative complications for elderly patients undergoing elective craniotomies, especially congestive heart failure, smoking history, chronic steroid use, anesthesia time, and estimated blood loss. The findings suggested that age alone should not preclude elective craniotomy.