Epidural blood patch (EBP) is an effective procedure for the treatment of spontaneous
intracranial hypotension (SIH). Neurological compromise following EBP, although rare, is
recognized as a serious potential complication. We describe a 33-year-old female patient in
whom long-term bladder and bowel dysfunction developed following a small volume (10mL)
EBP to treat SIH. We also discuss the possible pathophysiological mechanisms related to
this complication in the postprocedure setting.