PT - JOURNAL ARTICLE AU - Naseem Eisa AU - Hamzah Moh'd AU - Abdul Hamid Alraiyes AU - Khaldoon Shaheen AU - Fayez Kheir TI - Spontaneous Epidural Air Entrapment DP - 2014 Jun 20 TA - Ochsner Journal PG - 240--243 VI - 14 IP - 2 4099 - http://www.ochsnerjournal.org/content/14/2/240.short 4100 - http://www.ochsnerjournal.org/content/14/2/240.full SO - Ochsner J2014 Jun 20; 14 AB - 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.