A Rare Cutis Verticis Gyrata Secondary to Cerebriform Intradermal Nevus: Case Report and Literature Review

    May 2021 in “ BMC surgery
    Weiliang Zeng, Lili Guo
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    TLDR A man's unusual scalp folds caused by a skin condition were treated with surgery and remained unchanged two years later.
    A 25-year-old male patient presented with a year-long history of non-scarring hair loss and mild itching in the scalp's parietal-occipital region, where he also had congenital scalp skin folds resembling brain gyri. Physical examination revealed a 12.0 cm × 8.5 cm cerebriform mass with hypertrophy and folds in the same area. The patient underwent surgical excision of the affected tissue, which was later identified as dense intradermal melanocytic nevus, leading to a diagnosis of secondary cutis verticis gyrata (CVG) caused by cerebriform intradermal nevus (CIN). Two years post-surgery, the patient's condition showed no significant changes. The study concludes that CIN should be differentiated from other causes of CVG and that treatment can vary from surgical excision to clinical observation, depending on the patient's preference and the severity of the condition.
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