Abstract
Localized congenital cutis verticis gyrate (CVG) is very rare and has the potential risk of skull involvement. A 23-year-old female presented with a congenital scalp mass in the occipital region. A local thickening of her left occipital scalp with ridges and furrows was observed on examination. Head CT scan showed a lytic area underneath the same area of the occipital calvarium. The mass was surgically removed due to the skull erosion and cosmetic reasons. Pathological evaluation established CVG. Surgical excision is best for localized congenital CVG with skull erosion due to cosmetic reasons. Surgical excision is rewarding to patient because she is able to style her hair now.
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