Risk management of regional anesthesia: Spinal epidural hematoma

Kanako Makito, Shizuko Kosugi, Koichi Tsuzaki

Research output: Contribution to journalReview articlepeer-review


Spinal epidural hematoma following neuraxial anesthesia is a rare condition that usually presents with acute and, if any, progressive neurological symptoms including pain, sensory/motor impairment, and bladder/rectal disturbance. Although possible pathogenesis is mainly considered to be a direct injury of Batson's venous plexus, preoperative coagulation status and anticoagulant therapy also play some role in its development. Therefore, to prevent such a disastrous complication, one must choose an appropriate anesthetic technique and monitor neurological function of the patient at a regular time interval. In addition, it is highly recommended to carefully follow the recently revised regional anesthesia guideline for the patient receiving antithrombotic or thrombolytic therapy, although we still need further understanding and investigation of the complexity around this issue.

Original languageEnglish
Pages (from-to)1250-1258
Number of pages9
JournalJapanese Journal of Anesthesiology
Issue number11
Publication statusPublished - 2011 Nov 10


  • Neuraxial anesthesia
  • Risk management
  • Spinal epidural hematoma

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine


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