Abstract
Hemispheric asymmetries, fourth venticular size, and cerebellar morphology were examined in 15 healthy men, aged 18 to 39 years, with documented childhood diagnoses of infantile autism, and in 20 healthy age-and sex-matched controls using computerized transverse axial tomography (CT). Nine patients were of approximately average intelligence, 3 showed specific language impairments, and 3 were mentally retarded. No significant group differences were seen in the distributions of frontal or posterior asymmetries of width or petalia. No subject showed evidence of cerebellar atrophy or an enlarged fourth ventricle. These results fail to support a hypothesis of unusual hemispheric asymmetry or macroscopic abnormalities of the posterior fossa in autism.
Similar content being viewed by others
References
American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, D.C.: Author.
Bauman, M., & Kemper, T. L. (1985). Histoanatomic observations of the brain in early infantile autism.Neurology, 35, 866–874.
Bauman M. L., LeMay, M., Bauman, R. A., & Rosenberger, P. B. (1985). Computerized tomographic (CT) observations of the posterior fossa in early infantile autism.Neurology, 35, (Suppl. 1) 247.
Campbell, M., Rosenbloom, S., Perry, R., et al. (1982). Computerized axial tomographic scans in young autistic children.American Journal of Psychiatry, 139, 510–512.
Caparulo, B. K., Cohen, D. J., Rothman, S. L., et al. (1981). Computed tomographic brain scanning in children with developmental neuropsychiatric disorders.Journal of the American Academy of Child Psychiatry, 20, 338–357.
Chi, J. G., Dooling, E. L., & Gilles, F. M. (1977). Left-right asymmetries of the temporal speech areas of the human fetus.Archives of Neurology, 34, 346–348.
Chui, H. C., & Damasio, A. R. (1980). Human cerebral asymmetries evaluated by computed tomography.Journal of Neurology, Neurosurgery, and Psychiatry, 43, 873–878.
Coleman, D. P., Romano, J., Lapham, L., & Simon, W. (1985). Cell counts in cerebral cortex of an autistic patient.Journal of Autism and Developmental Disorders, 15, 245–255.
Creasey, H. Rumsey, J. M., Schwartz, M., Duara, R., Rapoport, J. L., & Rapoport, S. I. (1986). Brain morphometry, as measured by quantitative CT scanning, in autistic men.Archives of Neurology, 43, 669–672.
Damasio, H., Maurer, R. G., Damasio, A. R., & Chui, H. C. (1980). Computerized tomographic scan findings in patients with autistic behavior.Archives of Neurology, 37, 504–510.
DiChiro, G., Brooks, R. A., Dubal, L., & Chew, E. (1978). The apical artifact: Elevated attenuation values toward the apex of the skull.Journal of Computer Assisted Tomography, 2, 65–70.
Duara, R., Grady, C., Haxby, J., et al. (1984). Human brain glucose utilization and cognitive function in relation to age.Annals of Neurology, 16, 702–713.
Duara, R., Margolin, R. A., Robertson-Tchabo, E. A., et al. (1983). Cerebral glucose utilization, as measured with positron emission tomography, in 21 resting healthy men between the ages of 21 and 83 years.Brain, 106, 761–775.
Geschwind, N., & Levitsky, W. (1968). Human brain: Left-right asymmetries in the temporal speech region.Science, 161, 186–187.
Gillberg, C., & Svendsen, P. (1983). Childhood psychosis and computed tomographic brain scan findings.Journal of Autism and Developmental Disorders, 13, 19–32.
Henderson, V. W., Naeser, M. A., Weiner, J. M., Pieniadz, J. M., & Chui, H. C. (1984). CT criteria of hemisphere asymmetry fail to predict language laterality.Neurology, 34, 1086–1089.
Hier, D. B., LeMay, M., & Rosenberger, P. B. (1979). Autism and unfavorable left-right asymmetries of the brain.Journal of Autism and Developmental Disorders, 9, 153–159.
Hier, D. B., LeMay, M., Rosenberger, P. B., & Perlo, V. P. (1978). Developmental dyslexia: Evidence for a subgroup with a reversal of cerebral asymmetry.Archives of Neurology, 35, 90–92.
LeMay M., & Kido, D. K. (1978). Asymmetries of the cerebral hemispheres on computed tomograms.Journal of Computer Assisted Tomography, 2, 471–476.
National Institutes of Health, Laboratory of Statistical and Mathematical Methodology, Division of Computer Resource and Technology. (1984).DCRT Mathematical and Statistical Program Manual (pp. 53–55). Bethesda, Maryland: Author.
Pieniadz, J. M., Naeser, M. A., Koff, E., & Levine, H. L. (1983). CT scan cerebral hemispheric asymmetry measurements in stroke cases with global aphasia: Atypical asymmetries associated with improved recovery.Cortex, 19, 371–391.
Prior, M. R., Tress, B., Hoffman, W. L., & Boldt, D. (1984). Computed tomographic study of children with classic autism.Archives of Neurology, 41, 482–484.
Ritvo, E. R., Freeman, F. J., Scheibel, A. B., Duong, P. T., Robinson, H., & Guthrie, D. (1986). Lower Purkinje cell counts in the cerebella of four autistic patients: Initial findings of the UCLA-NSAC Autopsy Research Report.American Journal of Psychiatry, 143, 862–866.
Rosenbloom, S., Campbell, M., George, A. E., et al. (1984). High resolution CT scanning in infantile autism: A quantitative approach.Journal of the American Academy of Child Psychiatry, 23, 72–77.
Rumsey, J. M., Duara, R., Grady, C., et al. (1985). Brain metabolism in autism: Resting cerebral glucose utilization rates as measured with positron emission tomography.Archives of General Psychiatry, 42, 448–455.
Seidenwurm, D., Bird, C. R., Enzmann, D. R., & Marshall, W. H. (1985). Left-right temporal region asymmetry in infants and children.American Journal of Neuroradiology, 6, 777–779.
Tager-Flusberg, H. B. (1981). On the nature of linguistic functioning in early infantile autism.Journal of Autism and Developmental Disorders, 11, 45–56.
Taveras, C. J. M., & Wood, E. H. (Eds.) (1976).Diagnostic neuroradiology (Vol. 1.) Baltimore: Williams & Wilkins.
Tsai, L., Jacoby, C. G., & Stewart, M. A. (1983). Morphological cerebral asymmetries in autistic children.Biological Psychiatry, 18, 317–327.
Tsai, L., Jacoby, C. G., Steward, M. A., & Beisler, J. M. (1982). Unfavourable left-right asymmetries of the brain and autism: A question of methodology.British Journal of Psychiatry, 140, 312–319.
Wada, J. A., Clarke, R., & Hamm, A. (1975). Cerebral hemisphere asymmetry in humans; cortical speech zones in 100 adult and 100 infant brains.Archives of Neurology, 32, 239–246.
Waterhouse, L., & Fein, D. (1982). Language skills in developmentally disabled children.Brain and Language, 15, 307–333.
Witelson, S., & Pallie, W. (1973). Left hemisphere specialisation for language in the newborn: Neuroanatomical evidence of asymmetry.Brain, 96, 641–646.
Author information
Authors and Affiliations
Additional information
National Institute on Aging
The authors thank the National Society for Autistic Adults and Children and the Linwood Center in Ellicott City, Maryland, for their assistance in announcing our studies to families. We also wish to acknowledge that this work was supported in part by the Gulton Foundation, Tenafly, New Jersey. This paper was submitted for publication on August 18, 1986.
Rights and permissions
About this article
Cite this article
Rumsey, J.M., Creasey, H., Stepanek, J.S. et al. Hemispheric asymmetries, fourth ventricular size, and cerebellar morphology in autism. J Autism Dev Disord 18, 127–137 (1988). https://doi.org/10.1007/BF02211823
Issue Date:
DOI: https://doi.org/10.1007/BF02211823