%0 Journal Article %A Naseem Eisa %A Hamzah Moh'd %A Abdul Hamid Alraiyes %A Khaldoon Shaheen %A Fayez Kheir %T Spontaneous Epidural Air Entrapment %D 2014 %J Ochsner Journal %P 240-243 %V 14 %N 2 %X Background Epidural pneumorrhachis (EPR), an extension of pneumomediastinum, results from air that leaks from the mediastinum and accumulates in the epidural space of the spine. It is an uncommon, benign condition; most cases are asymptomatic, are recognized only on computed tomography scans, and require no treatment.Case Report We present a case of EPR, pneumomediastinum, pneumothorax, and subcutaneous emphysema in a young male who was managed conservatively with supportive care.Conclusions EPR is a rare yet benign condition that can be found incidentally while working up lung or spine pathology. Although radiography can define the presence of a pneumomediastinum and subcutaneous emphysema, the diagnosis of EPR can only be made using computed tomography. The management of EPR is usually conservative, and the focus should be on underlying disease. %U https://www.ochsnerjournal.org/content/ochjnl/14/2/240.full.pdf