Hair wreath sign

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

hair collar sign

History
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Commens, 1989

Definition
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Annular hypertrichosis characterized by longer and thicker hair around a congenital localized alopecia on the capillitium. The hair crown sign is considered a possible leading symptom for ectopic nerve tissue, which has been relocated peripherally as a result of dysraphism (disturbance of the neural tube closure). Depending on whether only parts of the meninges or additionally parts of brain tissue prolapse, this finding is called meningocele or meningoencephalocele.

Diagnosis
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Cranial imaging

Differential diagnosis
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Operative therapie
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After the diagnosis has been made, a neurosurgeon must determine the possible operative indication.

Literature
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  1. Commens C et al (1989) Heterotopic brain tissue presenting as soon cysts with a collar of hypertrophic hair: the "hair collar" sign. Arch Dermatol 125: 1253-1256
  2. Held I et al. (2011) The hairline sign - possible indication of cranial dysraphism. JDDG 9: 136-139

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020