Cutis verticis gyrata

Case contributed by Dr Ammar Haouimi

Presentation

Chronic headaches in a patient with type 2 diabetes mellitus.

Patient Data

Age: 65 years
Gender: Female
MRI

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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