Larger brains in medication naive high-functioning subjects with pervasive developmental disorder

J Autism Dev Disord. 2004 Dec;34(6):603-13. doi: 10.1007/s10803-004-5282-2.

Abstract

Background: Are brain volumes of individuals with Pervasive Developmental Disorder (PDD) still enlarged in adolescence and adulthood, and if so, is this enlargement confined to the gray and/or the white matter and is it global or more prominent in specific brain regions.

Methods: Brain MRI scans were made of 21 adolescents with PDD and 21 closely matched controls.

Results: All brain volumes, except the white matter, were significantly larger in patients. After correction for brain volume, ventricular volumes remained significantly larger in patients.

Conclusions: Patients showed a proportional, global increase in gray matter and cerebellum volume, and a disproportional increase in ventricular volumes. Thus, at least in high-functioning patients with PDD, brain enlargement may still be present in adult life.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brain / abnormalities*
  • Cerebellum / abnormalities
  • Cerebral Cortex / abnormalities
  • Cerebral Ventricles / abnormalities
  • Child
  • Child Development Disorders, Pervasive / complications
  • Child Development Disorders, Pervasive / diagnosis*
  • Cognition Disorders / diagnosis*
  • Cognition Disorders / etiology
  • Cross-Sectional Studies
  • Diagnostic and Statistical Manual of Mental Disorders
  • Female
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Severity of Illness Index
  • Wechsler Scales