Cutis verticis gyrata

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Chronic headaches in a patient with type 2 diabetes mellitus.

Patient Data

Age: 65 years
Gender: Female
mri
This study is a stack
Axial
T1
This study is a stack
Coronal
T1
This study is a stack
Axial
FLAIR
This study is a stack
Coronal
T2
This study is a stack
Axial
Gradient Echo
This study is a stack
Axial
T1 C+
This study is a stack
Sagittal
T1 C+
This study is a stack
T1
C+
This study is a stack
3D-VR
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Info

There is marked thickening of the scalp predominately in the parietal and occipital regions with ridges and furrows involving the dermis and subcutis with anterior to posterior in direction, resembling the surface of the cerebral cortex.

small vessel ischemic changes are noted.

Case Discussion

MRI features of a cutis verticis gyrata (incidental finding) in a diabetic patient (type 2).

Diabetes mellitus type 2 is considered as one of the secondary etiologies of cutis verticis gyrata.

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