Tan Onder, Ergen Duygu
Ataturk University, Medical Faculty, Department of Plastic Reconstructive and Aesthetic Surgery, Erzurum,Turkey.
J Dermatol. 2006 Jul;33(7):492-5. doi: 10.1111/j.1346-8138.2006.00116.x.
Cutis verticis gyrata (CVG) is a very rare morphological condition of the scalp characterized by ridges and furrows resembling the surface of the brain. Primary or idiopathic CVG occurs in the absence of underlying soft-tissue abnormalities and is often associated with neuropsychiatric disorders. Secondary CVG occurs as a result of a local inflammatory or neoplastic process of the scalp or a systemic illness that produce pathologic changes in the scalp structure. The choice of treatment of CVG is surgical repair which depends on the size and location of the lesion, the underlying disorder, and the wishes of the patient, including primary repair, serial excision, skin grafting, local flaps and tissue expansion. In this case report, we describe the first female patient in the published work with primary essential CVG that appeared at 30 years of age. Because the patient had no cosmetic or functional complaint, no surgical intervention was attempted. Primary essential CVG, a very uncommon disorder, may be encountered in females after the third decade. The classification of CVG is essential to properly diagnose and treat patients who present with these unusual scalp lesions.
头皮回状颅皮（CVG）是一种非常罕见的头皮形态学病症，其特征为头皮出现类似大脑表面的嵴和沟。原发性或特发性CVG在无潜在软组织异常的情况下发生，且常与神经精神疾病相关。继发性CVG是由头皮局部炎症或肿瘤性病变或导致头皮结构发生病理改变的全身性疾病引起的。CVG的治疗选择是手术修复，这取决于病变的大小和位置、潜在疾病以及患者的意愿，包括一期修复、连续切除、植皮、局部皮瓣和组织扩张。在本病例报告中，我们描述了已发表文献中首例30岁出现原发性特发性CVG的女性患者。由于该患者没有美容或功能方面的主诉，因此未尝试进行手术干预。原发性特发性CVG是一种非常罕见的疾病，可能在女性三十多岁后出现。CVG的分类对于正确诊断和治疗出现这些异常头皮病变的患者至关重要。
