The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.
Abnormality of cerebellar vermian lobules VI and VII in patients with infantile autism: identification of hypoplastic and hyperplastic subgroups with MR imaging.
Abstract
OBJECTIVE: Infantile autism is a neurobehavioral disorder that is widely believed to have etiologically distinct subtypes, including subtypes with a genetic basis, but no neuroanatomic evidence firmly supports this belief. To date, only one type of cerebellar abnormality has been identified in patients with autism: hypoplasia of the vermis and hemispheres. By using a large sample of autistic patients and healthy volunteers along with precise MR imaging and quantitative procedures, we sought to replicate previous reports of cerebellar vermian hypoplasia in autism and to identify additional subtypes of cerebellar abnormality. MATERIALS AND METHODS: Using MR technology, we imaged and measured posterior and anterior vermian regions in 50 autistic patients (2-40 years old) and 53 healthy control subjects (3-37 years old). The autistic patients had social, language, cognitive, behavioral, and medical history characteristics that were typical of the general autistic population. By using precise procedures for positioning and aligning MR slices, we obtained comparable MR images within and across subject groups. RESULTS: Statistical analyses showed two subgroups of autistic patients, one (86% of the patients) with findings consistent with vermian hypoplasia and another (12% of the patients) with evidence of vermian hyperplasia. The hypoplasia subgroup included 43 patients whose mean midsagittal area for vermian lobules VI and VII was 237 +/- 38 mm2, and the hyperplasia subgroup included six patients whose mean area was 377 +/- 12 mm2. Thus, the area of lobules VI and VII in the hypoplasia subgroup was 16% smaller than the mean area in the control subjects (282 +/- 42 mm2) (p < .0001), whereas that in the hyperplasia subgroup was 34% larger (p < .0001). Analyses showed that these two subtypes of vermian abnormalities were present across all ages of autistic patients studied. CONCLUSION: Two different subtypes of autistic patients can be identified on the basis of the presence of vermian hypoplasia or hyperplasia as seen on MR images. Possible origins for vermian hypoplasia include environmental trauma and genetic factors.
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“Despite several detailed analyses of the vermis, our studies have been unable to identify any abnormalities of PC size or number in this region, thus failing to provide any microscopic cellular explanation for vermal hypoplasia as reported by cranial imaging studies [8].”
From Consensus Paper: Pathological Role of the Cerebellum in Autism (2012) · cites this paper as [8]
Citations
Cites
Development of the brainstem and cerebellum in autistic patients
Hashimoto, T., Tayama, M., Murakawa, K., Yoshimoto, T., Miyazaki, M., Harada, M., & Kuroda, Y. (1995) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02178163 · Cited by 381
Neuroanatomic Imaging in Autism
Courchesne, E. (1991) · PEDIATRICS · doi:10.1542/peds.87.5.781 · Cited by 167
Self-citationAbnormal Neuroanatomy in a Nonretarded Person With Autism
Courchesne, E. (1987) · Archives of Neurology · doi:10.1001/archneur.1987.00520150073028 · Cited by 155
Self-citationMidsagittal Magnetic Resonance Imaging of Autism
Gaffney, G., Samuel Kuperman, C., Tsai, L. Y., Minchin, S., & Hassanein, K. M. (1987) · The British Journal of Psychiatry · doi:10.1192/bjp.151.6.831 · Cited by 119
Age-Related Regional Differences in Cerebellar Vermis Observed In Vivo
Raz, N., Torres, I. J., Spencer, W. D., White, K., & Acker, J. D. (1992) · Archives of Neurology · doi:10.1001/archneur.1992.00530280106030 · Cited by 90
Neural activity-dependent brain changes in development: Implications for psychopathology
Courchesne, E., Chisum, H. J., & Townsend, J. (1994) · Development and Psychopathology · doi:10.1017/s0954579400004740 · Cited by 85
Self-citationCourchesne, E. (1995) · Journal of Autism and Developmental Disorders · doi:10.1007/bf02178164 · Cited by 67
Self-citationNeuropsychophysiological Study of Children at Risk for Schizophrenia: A Preliminary Report
Hendren, R. L., Hodde-Vargas, J., Yeo, R. A., Vargas, A., Brooks, W. M., & Ford, C. (1995) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199510000-00013 · Cited by 51
Cited by
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Unusual brain growth patterns in early life in patients with autistic disorder: An MRI study
Courchesne, E., Karns, C. M., Davis, H. R., Ziccardi, R., Carper, R. A., Tigue, Z. D., Chisum, H. J., Moses, P., Pierce, K., Lord, C., et al. (2001) · Neurology · doi:10.1212/wnl.57.2.245 · Cited by 1,487
Self-citationCourchesne, E., Chisum, H. J., Townsend, J., Cowles, A., Covington, J., Egaas, B., Harwood, M., Hinds, S., & Press, G. A. (2000) · Radiology · doi:10.1148/radiology.216.3.r00au37672 · Cited by 1,049
Self-citationAutism and the pervasive developmental disorders
Volkmar, F. R., & Klin, A. (2012) · doi:10.1093/med/9780199696758.003.0214 · Cited by 931
Mapping early brain development in autism
Courchesne, E., Pierce, K., Schumann, C. M., Redcay, E., Buckwalter, J. A., Kennedy, D. P., & Morgan, J. (2007) · Neuron · doi:10.1016/j.neuron.2007.10.016 · Cited by 860
Self-citationConsensus Paper: Pathological Role of the Cerebellum in Autism
Fatemi, S. H., Aldinger, K. A., Ashwood, P., Bauman, M. L., Blaha, C. D., Blatt, G. J., Chauhan, A., Chauhan, V., Dager, S. R., Dickson, P. E., et al. (2012) · The Cerebellum · doi:10.1007/s12311-012-0355-9 · Cited by 723
Metadata
- Authors
- Courchesne, E., Saitoh, O., Yeung-Courchesne, R., Press, G. A., Lincoln, A. J., Haas, R. H., & Schreibman, L.
- Affiliations
- University of California San Diego (US)
- Venue
- American Journal of Roentgenology
- Publisher
- American Roentgen Ray Society
- Published
- 1994-01
- Volume
- 162
- Issue
- 1
- Pages
- 123-130
- ISSN
- 0002-9580 (ISSN-L)
- 0361-803X
- 1546-3141
- OpenAlex
- W2130928858
- Cited by
- 278
- References
- 8
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 1 · 2021: 10 · 2020: 4 · 2019: 5 · 2018: 10 · 2017: 7 · 2016: 11 · 2015: 8 · 2014: 12 · 2013: 13 · 2012: 14
- FWCI
- 4.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Roentgenology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (1-R01-MH-36840, R01MH036840)
- National Institute of Neurological Disorders and Stroke (5-R01-NS 19855, R01NS019855)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetics and Neurodevelopmental Disorders
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Fetal and Pediatric Neurological Disorders
- Keywords
- infantile autism, cerebellar vermis, cerebellar vermis hypoplasia, autism subtypes, cerebellar morphology
- MeSH terms
- Adolescent, Adult, Autistic Disorder, Cerebellum, Child, Child, Preschool, Female, Humans, Magnetic Resonance Imaging, Male
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