Cutis verticis gyrate (CVG), also referred to as brainy scalp or scalp furrowing, CVG is a rare medical condition whereby the scalp manifests as folds and furrows of thickened skin. The resemblance of a cerebriform or brain look pattern is distinctive in most cases. The folds range in number from 2-10, and cannot be flattened with applied pressure. They are soft and spongy in texture. CVG is rare in the general population, with approximately 1 in 100,000 cases in men and 0.026 in 100,000 women. Usually located around the central and back areas of the scalp, the condition may also involve the entire scalp.
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Dr. Amir Tahernia is trained to surgically treat Cutis Verticis Gyrate, which mainly occurs in males sometime after puberty, and usually before age 30. Male predominance may suggest a possible X-linked hereditary factor, however, the condition is known not to exclusively be congenital, as other causes do exist. Since the condition is rare, limited research regarding definitive cause is available. Hair loss may occur over time where the scalp is thickened, although hair within furrows is usually normal. Keeping the scalp clean and well-groomed will help prevent infection and irritation. Although CVG is disfiguring, the skin thickening is usually benign.
There is no known cure for CVG, however, it can be surgically repaired by a skilled plastic or reconstructive surgeon by removal/reductions of the folds with direct excisions within the lines of tension (flap advancement), which results in a major reduction of the skin distortion. Dr. Tahernia is experienced in this flap advancement surgery, and would be happy to evaluate and discuss your case to see if you qualify for surgery. Contact our office to learn more about surgical treatment of CVG or to set up an appointment.