OBJECTIVE:Autism is a pervasive developmental disorder that includes deficits in socialization, communication, and adaptive functioning. The mismatch negativity (MMN) is a component of evoked response potentials that reflects pre-attentive change detection. The purpose of this study was to determine whether a group of autistic school-age children had abnormal changes in auditory MMN and to analyze and compare the results with an age-matched group of normal children.
MATERIALS and METHODS:This prospective study was carried out on 31 autistic school-age children. Thirty age-, gender-, and IQ-matched children served as a control group. The children were evaluated through diagnostic procedures that included psychometric and speech language tests and audiological assessments. Auditory MMNs were recorded from all participants, and the peak amplitudes and latencies were measured.
RESULTS:The mean ages were 11.3±2.8 and 11.2±3.2 years for the autistic and normal children, respectively. The MMN amplitudes obtained from the two groups were found to be statistically significantly different. The MMN amplitudes were reduced, and latencies were prolonged in autistic versus normal children.
CONCLUSION:Our results suggest that children with autism do have auditory changes at the level measured by MMN, mainly pre-attentive response, which argues for a doubt on affection of the supposed origin of auditory MMN in those children.
KEYWORDS:Auditory mismatch negativity, mismatch negativity, event-related potentials, autistic children, autism, auditory evoked potentials INTRODUCTION Autism was first described by Kanner, and since that time, extensive efforts have been made in describing the behaviors that define autism and to elucidate the underlying neural circuitry involved in autism through structural and functional neuroimaging [1] . It is a pervasive developmental disorder that includes deficits in socialization, communication, and adaptive functioning [2] .Its etiology has not yet been fully identified, but a variety of pathological events affecting brain development could be the cause [3] . Genetic factors might be incriminated for its etiology [4] . Children with autism often exhibit abnormalities in auditory processing and receptive language functioning [5] . It has been postulated that the deficits in attention processing contribute to many of the clinical features of autism [6] . Mismatch negativity (MMN) is a component of event-related potentials that reflects novelty discrimination. Although modulated by attention, it can be elicited, even if attention is not being paid to the stimulus; therefore, it reflects pre-attentive change detection [1] . MMN response has been elicited by changes in a variety of acoustic features, such as intensity, frequency, duration, and perceived location, and by changes in auditory patterns [7] . It can be reliably elicited in children, and the characteristics of the MMN elicited in simple paradigms from children are generally similar, although often somewhat longer in latency, to those elicit...