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A 67-year-old man with newly diagnosed peripheral T-cell lymphoma was admitted to
the hospital to start chemotherapy. In anticipation of treatment-related alopecia,
the patient requested to have his head shaved. His scalp had multiple folds extending
from anterior to posterior in a cerebriform pattern (Figure 1). With firm palpation, the furrows did not flatten or correct, consistent with cutis
verticis gyrata (CVG). On further history, the patient had bilateral cataract surgery
10 years prior. Two years before this admission, he underwent neurocognitive testing,
which revealed a low-average to mild-deficient IQ score.