Advertisement
Brief reports| Volume 56, ISSUE 11, P892-894, December 01, 2004

Autism and head circumference in the first year of life

      Background

      It has been reported that children with autism and pervasive developmental disorder have a significantly smaller head circumference at birth and that their head circumference then increases disproportionately rapidly in the first year of life.

      Methods

      We attempted to replicate these findings using 15 narrowly defined autistic children from the National Collaborative Perinatal Project and approximately 40,000 nonautistic control subjects.

      Results

      The autistic group had a slightly but not significantly larger head circumference at birth. At 4 months, the head circumference in the autistic group was not significantly larger than that of control subjects, but body weight and length were significantly larger in the autistic group.

      Conclusions

      We believe this is the first report of significant general body growth in autistic children in infancy; the larger head circumference may be part of this excessive general growth.

      Key words

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Biological Psychiatry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Bailey A.
        • Le Couteur A.
        • Gottesman I.
        • Bolton P.
        • Simonoff E.
        • Yuzda E.
        • Rutter M.
        Autism as a strongly genetic disorder: Evidence from a British twin study.
        Psychol Med. 1995; 25: 63-78
        • Bolton P.
        • Macdonald H.
        • Pickles A.
        • Rios P.
        • Goode S.
        • Crowson M.
        • et al.
        A case-control family history study of autism.
        J Child Psychol Psychiatry. 1994; 35: 877-900
        • Carper R.A.
        • Moses P.
        • Tigue Z.D.
        • Courchesne E.
        Cerebral lobes in autism.
        Neuroimage. 2002; 16: 1038-1051
        • Courchesne E.
        • Carper R.
        • Akshoomoff N.
        Evidence of brain overgrowth in the first year of life in autism.
        JAMA. 2003; 290: 337-344
        • Courchesne E.
        • Karns C.
        • Davis H.R.
        • Ziccardi R.
        • Carper R.A.
        • Tigue Z.D.
        • et al.
        Unusual brain growth patterns in early life in patients with autistic disorder.
        Neurology. 2001; 57: 245-254
        • Davidovitch M.
        • Patterson B.
        • Gartside P.
        Head circumference measurements in children with autism.
        J Child Neurol. 1996; 11: 389-393
        • Filipek P.A.
        • Richelme C.
        • Kennedy D.N.
        Morphometric analysis of the brain in developmental language disorders and autism [abstract].
        Ann Neurol. 1992; 32: 47519
        • Fombonne E.
        Is a large head circumference a sign of autism [letter]?.
        J Autism Dev Disord. 2000; 30: 365
        • Fombonne E.
        • Roge B.
        • Claverie J.
        • Courty S.
        • Fremolle J.
        Microcephaly and macrocephaly in autism.
        J Autism Dev Disord. 1999; 29: 113-119
        • Gilberg C.
        • de Souza L.
        Head circumference in autism, Asperger syndrome and ADHD.
        Dev Med Child Neurol. 2002; 44: 296-300
        • Lainhart J.E.
        Increased rate of head growth during infancy in autism.
        JAMA. 2003; 290: 393-394
        • Lainhart J.E.
        • Piven J.
        • Wzorek M.
        • Landa R.
        • Santangelo S.L.
        • Coon H.
        • Folstein S.E.
        Macrocephaly in children and adults with autism.
        J Am Acad Child Adolesc Psychiatry. 1997; 36: 282-290
        • Lemons J.A.
        • Schreiner R.L.
        • Gresham E.L.
        Relationship of brain weight to head circumference in early infancy.
        Hum Biol. 1981; 53: 351-354
        • Mason-Brothers A.
        • Ritvo E.R.
        • Guze B.
        • Mo A.
        • Freeman B.J.
        • Funderburk S.J.
        • Schroth P.C.
        Pre-, peri- and postnatal factors in 184 autistic patients from single and multiple incidence families.
        J Am Acad Child Adolesc Psychiatry. 1987; 26: 39-42
        • Mason-Brothers A.
        • Ritvo E.R.
        • Pingree C.
        • Petersen P.B.
        • Jenson W.R.
        • McMahon W.M.
        • et al.
        The UCLA-University of Utah epidemiologic survey of autism: Prenatal, perinatal and postnatal factors.
        Pediatrics. 1990; 86: 514-519
        • Niswander K.R.
        • Gordon M.
        • Berrendes H.W.
        • Blanc W.A.
        • Clifford S.H.
        • Douglas R.G.
        • et al.
        The Collaborative Perinatal Project and the National Institute of Neurological Diseases and Stroke.
        The Women and Their Pregnancies. National Institutes of Health, Public Health Service, Bethesda, MD1972
        • Piven J.
        • Arndt S.
        • Bailey J.
        • Andreasen N.C.
        Regional brain enlargement in autism.
        J Am Acad Child Adolesc Psychiatry. 1996; 35: 530-536
        • Piven J.
        • Arndt S.
        • Bailey J.
        • Havercamp S.
        • Andreasen N.C.
        • Palmer P.
        An MRI study of brain size in autism.
        Am J Psychiatry. 1995; 152: 1145-1149
        • Sparks B.F.
        • Friedman S.D.
        • Shaw D.W.
        • Aylward E.H.
        • Echelard D.
        • Artru A.A.
        • et al.
        Brain structural abnormalities in young children with autism spectrum disorder.
        Neurology. 2002; 59: 184-192
        • Stevenson R.E.
        • Schroer R.J.
        • Skinner C.
        • Fender D.
        • Simensen R.J.
        Autism and macrocephaly.
        Lancet. 1997; 349: 1744-1745
        • Torrey E.F.
        • Hersh S.P.
        • McCabe K.D.
        Early childhood psychosis and bleeding during pregnancy.
        J Autism Child Schiz. 1975; 5: 287-297
        • Volkmar F.R.
        • Pauls D.
        Autism.
        Lancet. 2003; 362: 1133-1141
        • Wing J.K.
        • O’Connor N.
        • Lotter V.
        Autistic conditions in early childhood.
        Br Med J. 1967; 3: 389-392