“…The cutaneous changes which may overlie an SCM have been reported previously, and include hypertrichosis, dysplastic skin, dermal sinus tract, subcutaneous lipoma, capillary hemangioma, vascular nevi, and hyperpigmentation 1–4 . Aplasia cutis congenita (ACC) is one of the rare cutaneous findings of SCMs, and is seldom reported in the literature 5 . According to the Frieden classification, 6 group 4 ACC is manifested by a hair collar overlying deeper embryologic malformations, such as myelomeningocele, porencephaly, spinal dysraphism, gastroschisis, and omphalocele.…”