Presentation
Concerned regarding non-painful palpable ridges in the scalp
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.








Loose skin of the scalp causing folds that have the appearance of cortical gyri. Minimal grooving of the underlying skull vault.
Case Discussion
A condition manifested by excessive skin folds in the scalp of the skin adopting an appearance like the surface of the brain. It can be primary or secondary due to large number of medical conditions including acromegaly. It generally occurs in males after puberty. It is seen more commonly in individuals with intellectual disability. It is usually a cosmetic oddity that can be treated by skin resection. Occasionally, it may be associated with melanoma. This case is relatively minor.