Ultrasound Pattern of Cutis Verticis Gyrata

Cutis verticis gyrata (CVG) is a cutaneous benign condition that usually presents symmetric or asymmetric convoluted folds and deep furrows in the scalp, which mimic the disposition of the cerebral sulci and gyri. This scalp deformation may be a worrying situation for the patients and their families...

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Bibliographic Details
Published in:Journal of ultrasound in medicine 2024-02, Vol.43 (2), p.405-409
Main Authors: Ortiz‐Orellana, Gabriela, Ferreira‐Wortsman, Camila, Wortsman, Ximena
Format: Article
Language:English
Subjects:
cutis verticis gyrata
dermatologic ultrasound
scalp
skin
ultrasonography
ultrasound
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Summary:Cutis verticis gyrata (CVG) is a cutaneous benign condition that usually presents symmetric or asymmetric convoluted folds and deep furrows in the scalp, which mimic the disposition of the cerebral sulci and gyri. This scalp deformation may be a worrying situation for the patients and their families. Clinically, its diagnosis may be challenging because it can mimic other cutaneous conditions. So far, the ultrasonographic pattern of CVG has not been reported. Thus, we aim to review the ultrasound findings of this entity. All patients (n = 14) presented zones with dermal and hypodermal thickening that corresponded with the elevated clinical zones, followed by folds with normal cutaneous thicknesses. There was undulation of the cutaneous layers in all cases. The scalp areas involved the frontal, parietal, and occipital regions bilaterally. The mean maximum dermal and hypodermal thicknesses and echogenicities and the color Doppler characteristics are provided. No significant dilation of the hair follicles was detected. In conclusion, CVG presents an ultrasonographic pattern that can support its diagnosis and follow‐up. This can help its differential diagnosis with other scalp dermatologic conditions.
ISSN:0278-4297
1550-9613
DOI:10.1002/jum.16373