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CC BY-NC-ND 4.0 · Indian J Plast Surg 2023; 56(06): 544-547
DOI: 10.1055/s-0043-1776897
Case Report

Bulldog Scalp Syndrome

Mohd Altaf Mir 
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India
,
Jaya Jain 
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India
,
Prince Kumar
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India
,
Rajesh Maurya
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India
,
Manjit Kaur Rana
2   Department of Pathology, All India Institute of Medical Sciences, Bathinda, Punjab, India
,
Aakansha Giri Goswami
1   Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bathinda, Punjab, India
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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


Publication History

Article published online:
24 November 2023

© 2023. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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