{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:25:54Z","timestamp":1770114354264,"version":"3.49.0"},"reference-count":28,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"26","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,6,30]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Cutis verticis gyrata (CVG) is a rare benign scalp condition that causes the formation of skin ridges and furrows. Because of the altered scalp anatomy, this condition can pose unique challenges in neurosurgical procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors report the case of a 47-year-old man with CVG and neurosarcoidosis who developed hydrocephalus requiring a ventriculoperitoneal shunt. Initial shunt placement at Kocher\u2019s point proceeded without complications. However, the patient presented several months later with shunt failure caused by migration of the proximal catheter. The cause of this was determined to be related to the patient\u2019s scalp hypermobility. After shunt revision and fixation of the hardware using titanium plates and screws, the patient had an uneventful recovery and a stable outcome at follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>This case emphasizes the importance of preoperative planning and intraoperative measures tailored to CVG patients. Further research is needed to elucidate the condition\u2019s neurosurgical implications and optimize procedural outcomes.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25174\">https:\/\/thejns.org\/doi\/10.3171\/CASE25174<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25174","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T02:53:08Z","timestamp":1751856788000},"source":"Crossref","is-referenced-by-count":0,"title":["Technical nuance of ventriculoperitoneal shunt placement in a patient with cutis verticis gyrata: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6943-0071","authenticated-orcid":true,"given":"Youssef J.","family":"Hamade","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Boston Medical Center, Brighton, Massachusetts"},{"name":"Department of Neurosurgery, Boston University Avedisian & Chobanian School of Medicine, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4742-839X","authenticated-orcid":true,"given":"Colin","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Jonathan and Karin Fielding School of Public Health at UCLA, Los Angeles, California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Ogando-Rivas","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Boston Medical Center, Brighton, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohsin","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Boston Medical Center, Brighton, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey E.","family":"Arle","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Boston Medical Center, Brighton, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuela","family":"Binello","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Boston Medical Center, Brighton, Massachusetts"},{"name":"Department of Neurosurgery, Boston Medical Center, Boston, Massachusetts"},{"name":"Department of Neurosurgery, Boston University Avedisian & Chobanian School of Medicine, Boston, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ekkehard M.","family":"Kasper","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Boston Medical Center, Brighton, Massachusetts"},{"name":"Department of Neurosurgery, Boston University Avedisian & Chobanian School of Medicine, Boston, Massachusetts"},{"name":"Department of Neurosurgery, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"Eplasty","first-page":"ic13","article-title":"Congenital primary essential cutis verticis gyrata","volume":"16","author":"Lamelas","year":"2016","unstructured":"Lamelas AMTaub PJSilver LKressel A.Congenital primary essential cutis verticis gyrata. Eplasty. 2016;16:ic13."},{"issue":"3","key":"bib2","series-title":"Indian Dermatol Online J","first-page":"186","article-title":"A rare association of scleromyxedema with cutis verticis gyrata","volume":"7","author":"Koregol","year":"2016","unstructured":"Koregol SYatagiri RVWarad SRItagi NR.A rare association of scleromyxedema with cutis verticis gyrata. Indian Dermatol Online J. 2016;7(3):186-189."},{"issue":"11","key":"bib3","series-title":"J Plast Reconstr Aesthet Surg","first-page":"e430","article-title":"Primary essential cutis verticis gyrata\u2014a case report","volume":"62","author":"Radwanski","year":"2009","unstructured":"Radwanski HNAlmeida MWPitanguy I.Primary essential cutis verticis gyrata\u2014a case report. J Plast Reconstr Aesthet Surg. 2009;62(11):e430-e433."},{"issue":"2","key":"bib4","series-title":"Australas J Dermatol","first-page":"91","article-title":"Cutis verticis gyrata: three cases with different aetiologies that demonstrate the classification system","volume":"48","author":"Larsen","year":"2007","unstructured":"Larsen FBirchall N.Cutis verticis gyrata: three cases with different aetiologies that demonstrate the classification system. Australas J Dermatol. 2007;48(2):91-94."},{"issue":"6","key":"bib5","series-title":"BMJ Case Rep","first-page":"e244150","article-title":"Cutis verticis gyrata in a paediatric patient with cochlear implants","volume":"14","author":"Patel","year":"2021","unstructured":"Patel NMcClenaghan FKonstantinidou SNash R.Cutis verticis gyrata in a paediatric patient with cochlear implants. BMJ Case Rep. 2021;14(6):e244150."},{"key":"bib6","series-title":"World Neurosurg","first-page":"392","article-title":"Neurosurgical and scalp reconstructive challenges during craniotomy in the setting of cutis verticis gyrata","volume":"125","author":"Rallo","year":"2019","unstructured":"Rallo MSNosko MAgag RLNeurosurgical and scalp reconstructive challenges during craniotomy in the setting of cutis verticis gyrata. World Neurosurg. 2019;125:392-397."},{"issue":"5","key":"bib7","series-title":"Indian J Dermatol Venereol Leprol","first-page":"748","article-title":"Primary nonessential cutis verticis gyrata with acne keloidalis nuchae","volume":"87","author":"Nachinolcar","year":"2021","unstructured":"Nachinolcar SNPai VShukla PMuthuprabhakaran K.Primary nonessential cutis verticis gyrata with acne keloidalis nuchae. Indian J Dermatol Venereol Leprol. 2021;87(5):748."},{"issue":"6","key":"bib8","series-title":"J Plast Reconstr Aesthet Surg","first-page":"1060","article-title":"Management of primary cutis verticis gyrata with tissue expansion and hairline lowering foreheadplasty","volume":"63","author":"Mishra","year":"2010","unstructured":"Mishra ATehrani HHancock KDuncan C.Management of primary cutis verticis gyrata with tissue expansion and hairline lowering foreheadplasty. J Plast Reconstr Aesthet Surg. 2010;63(6):1060-1061."},{"issue":"2","key":"bib9","series-title":"Cell Biochem Biophys","first-page":"373","article-title":"Treating cutis verticis gyrata using skin expansion method","volume":"62","author":"Zhao","year":"2012","unstructured":"Zhao DLi JWang KTreating cutis verticis gyrata using skin expansion method. Cell Biochem Biophys. 2012;62(2):373-376."},{"issue":"1","key":"bib10","series-title":"Cureus","first-page":"e2105","article-title":"Idiopathic cutis verticis gyrata in a female","volume":"10","author":"Ennouhi","year":"2018","unstructured":"Ennouhi MAGuerrouani AMoussaoui A.Idiopathic cutis verticis gyrata in a female. Cureus. 2018;10(1):e2105."},{"issue":"3","key":"bib11","series-title":"Yale J Biol Med","first-page":"313","article-title":"A review of cerebral shunts, current technologies, and future endeavors","volume":"91","author":"Soler","year":"2018","unstructured":"Soler GJBao MJaiswal DA review of cerebral shunts, current technologies, and future endeavors. Yale J Biol Med. 2018;91(3):313-321."},{"issue":"4","key":"bib12","series-title":"Cureus","first-page":"e4453","article-title":"Ventriculoperitoneal shunt migration inside the gastric lumen: a rare case report","volume":"11","author":"Sidhu","year":"2019","unstructured":"Sidhu JSMandal AKafle PChaulagai BGayam V.Ventriculoperitoneal shunt migration inside the gastric lumen: a rare case report. Cureus. 2019;11(4):e4453."},{"issue":"12","key":"bib13","series-title":"Dermatol Online J","first-page":"64","article-title":"Cutis verticis gyrata","volume":"22","author":"Yagerman","year":"2016","unstructured":"Yagerman SCallahan STerushkin VMeehan SAPomeranz MKFriedman-Kien A.Cutis verticis gyrata. Dermatol Online J. 2016;22(12):64-65."},{"issue":"5","key":"bib14","series-title":"Br J Neurosurg","first-page":"1066","article-title":"The one-step edge-to-edge technique in ventriculoperitoneal shunt","volume":"37","author":"Umana","year":"2023","unstructured":"Umana GEScalia GFricia MThe one-step edge-to-edge technique in ventriculoperitoneal shunt. Br J Neurosurg. 2023;37(5):1066-1068."},{"key":"bib1","series-title":"Eplasty","first-page":"ic13","article-title":"Congenital primary essential cutis verticis gyrata","volume":"16","author":"Lamelas","year":"2016","unstructured":"Lamelas AMTaub PJSilver LKressel A.Congenital primary essential cutis verticis gyrata. Eplasty. 2016;16:ic13."},{"issue":"3","key":"bib2","series-title":"Indian Dermatol Online J","first-page":"186","article-title":"A rare association of scleromyxedema with cutis verticis gyrata","volume":"7","author":"Koregol","year":"2016","unstructured":"Koregol SYatagiri RVWarad SRItagi NR.A rare association of scleromyxedema with cutis verticis gyrata. Indian Dermatol Online J. 2016;7(3):186-189."},{"issue":"11","key":"bib3","series-title":"J Plast Reconstr Aesthet Surg","first-page":"e430","article-title":"Primary essential cutis verticis gyrata\u2014a case report","volume":"62","author":"Radwanski","year":"2009","unstructured":"Radwanski HNAlmeida MWPitanguy I.Primary essential cutis verticis gyrata\u2014a case report. J Plast Reconstr Aesthet Surg. 2009;62(11):e430-e433."},{"issue":"2","key":"bib4","series-title":"Australas J Dermatol","first-page":"91","article-title":"Cutis verticis gyrata: three cases with different aetiologies that demonstrate the classification system","volume":"48","author":"Larsen","year":"2007","unstructured":"Larsen FBirchall N.Cutis verticis gyrata: three cases with different aetiologies that demonstrate the classification system. Australas J Dermatol. 2007;48(2):91-94."},{"issue":"6","key":"bib5","series-title":"BMJ Case Rep","first-page":"e244150","article-title":"Cutis verticis gyrata in a paediatric patient with cochlear implants","volume":"14","author":"Patel","year":"2021","unstructured":"Patel NMcClenaghan FKonstantinidou SNash R.Cutis verticis gyrata in a paediatric patient with cochlear implants. BMJ Case Rep. 2021;14(6):e244150."},{"key":"bib6","series-title":"World Neurosurg","first-page":"392","article-title":"Neurosurgical and scalp reconstructive challenges during craniotomy in the setting of cutis verticis gyrata","volume":"125","author":"Rallo","year":"2019","unstructured":"Rallo MSNosko MAgag RLNeurosurgical and scalp reconstructive challenges during craniotomy in the setting of cutis verticis gyrata. World Neurosurg. 2019;125:392-397."},{"issue":"5","key":"bib7","series-title":"Indian J Dermatol Venereol Leprol","first-page":"748","article-title":"Primary nonessential cutis verticis gyrata with acne keloidalis nuchae","volume":"87","author":"Nachinolcar","year":"2021","unstructured":"Nachinolcar SNPai VShukla PMuthuprabhakaran K.Primary nonessential cutis verticis gyrata with acne keloidalis nuchae. Indian J Dermatol Venereol Leprol. 2021;87(5):748."},{"issue":"6","key":"bib8","series-title":"J Plast Reconstr Aesthet Surg","first-page":"1060","article-title":"Management of primary cutis verticis gyrata with tissue expansion and hairline lowering foreheadplasty","volume":"63","author":"Mishra","year":"2010","unstructured":"Mishra ATehrani HHancock KDuncan C.Management of primary cutis verticis gyrata with tissue expansion and hairline lowering foreheadplasty. J Plast Reconstr Aesthet Surg. 2010;63(6):1060-1061."},{"issue":"2","key":"bib9","series-title":"Cell Biochem Biophys","first-page":"373","article-title":"Treating cutis verticis gyrata using skin expansion method","volume":"62","author":"Zhao","year":"2012","unstructured":"Zhao DLi JWang KTreating cutis verticis gyrata using skin expansion method. Cell Biochem Biophys. 2012;62(2):373-376."},{"issue":"1","key":"bib10","series-title":"Cureus","first-page":"e2105","article-title":"Idiopathic cutis verticis gyrata in a female","volume":"10","author":"Ennouhi","year":"2018","unstructured":"Ennouhi MAGuerrouani AMoussaoui A.Idiopathic cutis verticis gyrata in a female. Cureus. 2018;10(1):e2105."},{"issue":"3","key":"bib11","series-title":"Yale J Biol Med","first-page":"313","article-title":"A review of cerebral shunts, current technologies, and future endeavors","volume":"91","author":"Soler","year":"2018","unstructured":"Soler GJBao MJaiswal DA review of cerebral shunts, current technologies, and future endeavors. Yale J Biol Med. 2018;91(3):313-321."},{"issue":"4","key":"bib12","series-title":"Cureus","first-page":"e4453","article-title":"Ventriculoperitoneal shunt migration inside the gastric lumen: a rare case report","volume":"11","author":"Sidhu","year":"2019","unstructured":"Sidhu JSMandal AKafle PChaulagai BGayam V.Ventriculoperitoneal shunt migration inside the gastric lumen: a rare case report. Cureus. 2019;11(4):e4453."},{"issue":"12","key":"bib13","series-title":"Dermatol Online J","first-page":"64","article-title":"Cutis verticis gyrata","volume":"22","author":"Yagerman","year":"2016","unstructured":"Yagerman SCallahan STerushkin VMeehan SAPomeranz MKFriedman-Kien A.Cutis verticis gyrata. Dermatol Online J. 2016;22(12):64-65."},{"issue":"5","key":"bib14","series-title":"Br J Neurosurg","first-page":"1066","article-title":"The one-step edge-to-edge technique in ventriculoperitoneal shunt","volume":"37","author":"Umana","year":"2023","unstructured":"Umana GEScalia GFricia MThe one-step edge-to-edge technique in ventriculoperitoneal shunt. Br J Neurosurg. 2023;37(5):1066-1068."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/26\/article-CASE25174.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/26\/article-CASE25174.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/9\/26\/article-CASE25174.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T23:36:11Z","timestamp":1770075371000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/9\/26\/article-CASE25174.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":28,"journal-issue":{"issue":"26"},"URL":"https:\/\/doi.org\/10.3171\/case25174","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,30]]}}}