Hamade Youssef J, Zhu Colin, Ogando-Rivas Elizabeth, Khan Mohsin, Arle Jeffrey E, Binello Emanuela, Kasper Ekkehard M
Department of Neurosurgery, Boston Medical Center, Brighton, Massachusetts.
Department of Neurosurgery, Boston University Avedisian & Chobanian School of Medicine, Boston, Massachusetts.
J Neurosurg Case Lessons. 2025 Jun 30;9(26). doi: 10.3171/CASE25174.
Cutis verticis gyrata (CVG) is a rare benign scalp condition that causes the formation of skin ridges and furrows. Because of the altered scalp anatomy, this condition can pose unique challenges in neurosurgical procedures.
The authors report the case of a 47-year-old man with CVG and neurosarcoidosis who developed hydrocephalus requiring a ventriculoperitoneal shunt. Initial shunt placement at Kocher's point proceeded without complications. However, the patient presented several months later with shunt failure caused by migration of the proximal catheter. The cause of this was determined to be related to the patient's scalp hypermobility. After shunt revision and fixation of the hardware using titanium plates and screws, the patient had an uneventful recovery and a stable outcome at follow-up.
This case emphasizes the importance of preoperative planning and intraoperative measures tailored to CVG patients. Further research is needed to elucidate the condition's neurosurgical implications and optimize procedural outcomes. https://thejns.org/doi/10.3171/CASE25174.
头皮回状颅皮（CVG）是一种罕见的良性头皮疾病，可导致皮肤嵴和沟的形成。由于头皮解剖结构改变，这种情况在神经外科手术中可能带来独特的挑战。
作者报告了一例47岁患有CVG和神经结节病的男性患者，该患者发生脑积水，需要进行脑室腹腔分流术。最初在科赫尔点放置分流管过程顺利，无并发症。然而，患者数月后因近端导管移位导致分流失败。经确定，其原因与患者头皮活动度过高有关。在使用钛板和螺钉对分流装置进行翻修和固定后，患者恢复顺利，随访结果稳定。
该病例强调了针对CVG患者进行术前规划和术中措施的重要性。需要进一步研究以阐明该疾病对神经外科手术的影响并优化手术效果。https://thejns.org/doi/10.3171/CASE25174 。
