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A Journal on Internal Medicine


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Panminerva Medica 2001 December;43(4):311-5

 CASE REPORTS

Autism and cerebellum. An unusual finding with MRI

Muratori F., Cesari A., Casella C.

From the Institute of Child Neuropsychiatry IRCCS Stella Maris University of Pisa, Pisa, Italy

In ­recent ­years neu­ro­im­ag­ing tech­niques ­have ­shown in ­young autis­tic chil­dren mor­pho­log­i­cal dis­or­ders of the brain­stem and cer­e­bel­lum. After a ­review of the lit­er­a­ture the ­authors ­present a ­three-year-old ­child, ­with a pervasive developmental disorder (autistic type) ­whose MRI ­shows an unusu­al find­ing in the ­right cer­e­bel­lar hem­i­sphere. The ­achieved lev­els in ­many devel­op­men­tal are­as (lin­guis­tic, cog­ni­tive, rela­tion­al, com­mu­ni­ca­tive) ­have ­been ­referred too. This devel­op­men­tal descrip­tion rep­re­sents addi­tion­al infor­ma­tion to the ­research ­about pos­sible cor­re­la­tions ­between autis­tic symp­toms and neu­ro­an­a­tom­ic abnor­mal­ities. The ­focus is ­about the ­role of neo­cer­e­bel­lum in com­plex pro­cess­es ­such as ­joint atten­tion, ­shift atten­tion, cog­ni­tive and lin­guis­tic func­tions ­which are prob­ably ­involved in path­o­gen­e­sis of autistic disorder. The pres­ence of ­such inabil­ities in a ­case ­with cer­e­bel­lar hem­i­sphere abnor­mal­ities, with­out ver­mis com­pro­mis­sion, ­could sug­gest ­that in aut­ism ­exist def­i­cits in ­more com­plex con­nec­tions ­between neo­cer­e­bel­lum and oth­ers ­regions of the ­brain.

language: English


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