Cutis Verticis Gyrata – Consultant Diagnosis & Management in London
Cutis verticis gyrata is a rare scalp condition that produces deep folds and furrows resembling brain-like ridges. It can occur on its own or be associated with other medical or neurological conditions. At Skinhorizon, we provide expert assessment and management for patients with this uncommon but sometimes distressing scalp disorder.
Understanding cutis verticis gyrata
Cutis verticis gyrata (CVG) is a rare dermatological condition affecting the scalp, characterised by deep furrows and folds that create a convoluted appearance resembling the surface of the brain. The condition was first described in the 19th century and is classified as either primary or secondary depending on the underlying cause. While CVG is usually benign, it can cause cosmetic distress, hygiene difficulties, and occasionally point to an underlying systemic disorder that requires medical attention.
Types and causes
CVG is divided into three categories:
- Primary essential CVG: Occurs without any associated condition. Most often seen in men, emerging during or after puberty.
- Primary non-essential CVG: Associated with neurological or ophthalmological disorders such as epilepsy, learning disabilities, or cataracts.
- Secondary CVG: Caused by other conditions such as acromegaly, myxoedema, scalp tumours, or inflammatory skin diseases.
The exact mechanism involves thickening of the scalp’s connective tissue and dermis. In secondary forms, growth hormone excess, inflammation, or local tumours may drive the changes.
Clinical features
Patients with CVG present with deep folds and grooves on the scalp, often arranged in a symmetrical pattern running front-to-back. The ridges cannot be smoothed out by pulling the skin taut. The folds may trap sweat, sebum, and debris, making scalp hygiene more difficult and sometimes causing odour or secondary infections.
Who is affected by Cutis Verticis Gyrata?
CVG is significantly more common in men, with onset typically around puberty or young adulthood. Secondary forms can appear later in life depending on the underlying condition. While rare, it can also affect women and occasionally children.
Cutis Verticis Gyrata Diagnosis
Diagnosis is made clinically by recognising the distinctive scalp folds. To distinguish between primary and secondary CVG, further tests may be required. Blood tests to evaluate hormones such as growth hormone or thyroid function may be recommended. In some cases, a scalp biopsy is performed to exclude tumours or inflammatory disease. Neurological and ophthalmological assessments may also be necessary if associated symptoms are present.
Consultant Diagnosis for Cutis Verticis Gyrata in Central London
Book a specialist scalp assessment in Maida Vale for cutis verticis gyrata. We investigate underlying causes and offer treatment or monitoring options.
Call Us Book ConsultationCutis Verticis Gyrata Management and treatment
There is no specific medical treatment that reverses the skin changes of CVG. Management focuses on:
- Scalp hygiene: Regular washing and drying of folds to reduce odour, debris accumulation, and risk of infection.
- Treating secondary causes: Managing underlying conditions such as acromegaly or thyroid disorders can help prevent progression.
- Surgical correction: In selected cases, plastic surgery may flatten folds and improve cosmetic appearance.
- Supportive care: Psychological support and reassurance are important, particularly if the appearance causes distress.
Prognosis and expectations
CVG is benign and not life-threatening, but it can be long-lasting. Primary forms usually persist throughout life, while secondary forms may improve if the underlying cause is treated. Surgical correction can offer permanent improvement, though scarring is possible.
Special considerations
In individuals with skin of colour, the folds may be less visibly distinct but still present and equally troublesome for hygiene. Patients with intellectual disability may need support with scalp care. Awareness of associated conditions such as acromegaly is critical to ensure systemic diseases are not missed.
Why choose Skinhorizon?
Our dermatology specialists at Skinhorizon combine clinical expertise with compassionate care to evaluate and manage rare conditions like CVG. We provide thorough investigation for possible underlying causes and advise on tailored management options, including surgical referral where appropriate.
Your first visit — what to expect
- Consultation: Full medical history and scalp examination.
- Investigations: Blood tests or imaging if secondary CVG is suspected.
- Advice: Guidance on hygiene and scalp care.
- Treatment plan: Personalised recommendations, including surgical referral if appropriate.
Reviewed by: Dr Mohammad Ghazavi, Consultant Dermatologist
Skinhorizon Clinic, 4 Clarendon Terrace, Maida Vale, London W9 1BZ
Last reviewed:
Discuss candidacy and a tailored plan to manage scalp folds and hygiene concerns using expert cutis verticis gyrata care.
Call Us Book ConsultationCutis Verticis Gyrata FAQs
Is cutis verticis gyrata dangerous?
No, CVG itself is benign, but it may indicate an underlying condition such as acromegaly or thyroid disease.
Can CVG be treated?
There is no cure, but good scalp hygiene and, in some cases, surgery can manage the condition effectively.
Does CVG affect hair growth?
Most patients maintain normal hair growth, although the folds can make hair care more difficult.
Who is most at risk of CVG?
It is more common in men, particularly after puberty, and may be linked to hormonal or systemic disorders.
Is surgery always needed?
No, many patients manage with hygiene measures alone. Surgery is an option for cosmetic or severe cases.
