Can X-rays Help Diagnose Cutis Verticus Gyrata (CVG) Of The Scalp?

Q: Dr. Eppley, I think I have cutis vertices gyrata (CVG) of the scalp. I have not consulted with a dermatologist so I’m not sure what CVG type it is. Ideally, I would like to have a scan CT/MRI to identify the disorder and plan treatment moving forward. If your facility provides all these services then I would like to schedule a consult.

A: CVG is a scalp disorder not a bone one. Thus MRIs or CT scans are not helpful in making the diagnosis or for treatment planning purposes. There is no method to diagnosis it over than by its appearance and clinical examination. The cause of CVG is unknown. It can only be treated by either  excision (cutting it out) or by fat grafting. (release and fill with injectable fat grafting) Each treatment method has its advantages and disadvantages.

Dr. Barry Eppley

Indianapolis, Indiana