Abstract
Bulldog scalp syndrome or cutis verticis gyrata (CVG) is a rare cutaneous disorder
with an incidence of just 0.026 to 1 per 100,000 population and cosmetic problems
should not be ignored as they can affect the quality of life of patients in social
and psychological aspects. In CVG the scalp thickens to form folds resembling sulci
and gyri just as the skin fold of bulldog. It is a clinical diagnosis with various
etiologies. It is classified as primary essential or nonessential and secondary CVG.
It can manifest with symptoms ranging from mild to severe intensity. Cosmetic problems
are the major concern that can affect patients' social and psychological health. If
the folds are heavy, they can cause mass symptoms. Thus, surgery remains the definitive
treatment option for improving the cosmetic appearance. Both our cases have different
etiologies, however, were managed surgically with removal of skin folds (gyrae) and
scoring of aponeuroses of the scalp followed by stretching of the scalp and closure
to improve appearance. The surgical team as well as patients were satisfied with the
appearance of the scalp after healing. CVG though a rare disease with various etiologies
is a benign condition with good prognosis with no reports of malignant transformation
so far.
Keywords
bulldog scalp - cutis verticis gyrata - scalp flap
