1995
DOI: 10.1007/bf02178163
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Development of the brainstem and cerebellum in autistic patients

Abstract: Studies of magnetic resonance images have revealed morphological disorders of the brainstem and cerebellum in autistic children and adults. When we studied development of the brainstem and cerebellum in autistic patients, we found that although the brainstem and cerebellum significantly increased in size with age in both autistic patients and controls, these structures were significantly smaller in autistic patients than in controls. The speed of development of the pons, the cerebellar vermis I-V and the cereb… Show more

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Cited by 327 publications
(192 citation statements)
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“…Significant group differences in individual regions were limited to the left middle frontal gyrus, although the ASD group average was lower than the control group in all the brain regions assayed (frontal, parietal, occipital, and cerebellar) and when all brain areas were averaged, suggesting the possibility of widespread abnormalities. This study extended prior work in this area by establishing that neural abnormalities, which have been identified using 1 H-MRS predominantly in younger and likely lower functioning autistic individuals (Chugani et al, 1999;Friedman et al, 2003;Friedman et al, 2006;Hashimoto et al, 1997;Hashimoto et al, 1995;Hisaoka et al, 2001;Otsuka et al, 1999), may also be present in a higher functioning broadly inclusive ASD sample. None of the individuals in our sample had IQs in the mentally retarded range and the sample included individuals with diagnoses in the less severe end of the autism spectrum; approximately 43% of the sample was diagnosed as PDD-NOS or Asperger's disorder.…”
Section: Discussionsupporting
confidence: 66%
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“…Significant group differences in individual regions were limited to the left middle frontal gyrus, although the ASD group average was lower than the control group in all the brain regions assayed (frontal, parietal, occipital, and cerebellar) and when all brain areas were averaged, suggesting the possibility of widespread abnormalities. This study extended prior work in this area by establishing that neural abnormalities, which have been identified using 1 H-MRS predominantly in younger and likely lower functioning autistic individuals (Chugani et al, 1999;Friedman et al, 2003;Friedman et al, 2006;Hashimoto et al, 1997;Hashimoto et al, 1995;Hisaoka et al, 2001;Otsuka et al, 1999), may also be present in a higher functioning broadly inclusive ASD sample. None of the individuals in our sample had IQs in the mentally retarded range and the sample included individuals with diagnoses in the less severe end of the autism spectrum; approximately 43% of the sample was diagnosed as PDD-NOS or Asperger's disorder.…”
Section: Discussionsupporting
confidence: 66%
“…Structural neuroimaging studies of individuals with Autistic Disorder, who among individuals with ASD have the highest level of autistic symptomatology and the lowest level of adaptive functioning (Walker et al, 2004), have reported widespread abnormalities including agedependent increased brain volume (Aylward et al, 2002;Courchesne et al, 2001;Hazlett et al, 2005;Redcay and Courchesne, 2005;Sparks et al, 2002) reduced size of vermal lobules VI and VII (Ciesielski et al, 1997;Courchesne et al, 1994a;Courchesne et al, 1988;Hashimoto et al, 1995;Kaufmann et al, 2003), and reversed patterns of asymmetry (Herbert et al, 2005).…”
Section: Introductionmentioning
confidence: 99%
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“…Rats exposed to valproic acid on day 12.5 of gestation (VPA rats) exhibit several anatomical abnormalities in the brainstem and cerebellum (Rodier et al, 1996(Rodier et al, , 1997Ingram et al, 2000), resembling those found at autopsy and in brain imaging studies of autistic patients (Bauman and Kemper, 1994;Gaffney et al, 1988;Hashimoto et al, 1995;Courchesne, 1997). We previously presented evidence that administration of VPA on day 12.5 of gestation also has long-term effects on postnatal behaviors in male rats, which include lower sensitivity to pain and higher sensitivity to nonpainful stimuli; diminished acoustic prepulse inhibition; locomotor and repetitive, stereotypic-like hyperactivity combined with lower exploratory activity; decreased number of social behaviors; and increased latency to social behaviors (Schneider et al, 2001;Schneider and Przewlocki, 2005).…”
Section: Introductionmentioning
confidence: 94%
“…Many brain regions of suspected abnormality have been reported (Akshoomoff, 2002), though with little consensus (Brambilla et al, 2003;Rumsey, 2000). Major brain structures implicated include frontal (Damasio, 1978;Zilbovicius, 1995), parietal (Courchesne, 1993), and mediotemporal regions (Bachevalier, 1994), as well as cerebellum, basal ganglia, brain stem, and limbic system (Courchesne, 1997;Hashimoto et al, 1995;Rodier, 2002).…”
Section: Introductionmentioning
confidence: 99%