침술(鍼術)로 인한 외상성 뇌척수액 비루 1례

Cerebrospinal fluid (CSF) leakage occurs as a consequence of severe head trauma in which the cranial vault or base of the skull is fractured. We experienced an interesting case of traumatic CSF rhinorrhea associated with acupuncture. A 45 year old man suffered from bloody rhinorrhea and headaches after acupuncture was done illegally for the purpose of cleansing the head. Isovist CT cisternography and MR cisternogram had been used to localize the site of the leakage and showed the leakage in the sphenoethmoidal angle. The leakage ceased by conservative management and lumbar CSF drainage without any complications. We discussed the diagnostic approach of the traumatic CSF rhinorrhea and its management. (J Clinical Otolaryngol 1999;10:83-86)