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Brief Report| Volume 62, ISSUE 3, P262-266, August 01, 2007

Caudate Nucleus Is Enlarged in High-Functioning Medication-Naive Subjects with Autism

  • Marieke Langen
    Correspondence
    Address reprint requests to Marieke Langen, M.Sc., Neuroimaging Lab, Department of Child and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, HP A01.468-438, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands
    Affiliations
    Department of Child and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, The Netherlands.
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  • Sarah Durston
    Affiliations
    Department of Child and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, The Netherlands.
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  • Wouter G. Staal
    Affiliations
    Department of Child and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, The Netherlands.
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  • Saskia J.M.C. Palmen
    Affiliations
    Department of Child and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, The Netherlands.
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  • Herman van Engeland
    Affiliations
    Department of Child and Adolescent Psychiatry, Rudolf Magnus Institute of Neuroscience, University Medical Center Utrecht, Utrecht, The Netherlands.
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      Background

      Autism is defined by three symptom clusters, including repetitive and stereotyped behavior. Previous studies have implicated basal ganglia in these behaviors. Earlier studies investigating basal ganglia in autism have included subjects on neuroleptics known to affect basal ganglia volumes. Therefore, we investigated these structures in medication-naive subjects with autism.

      Methods

      Volumetric magnetic resonance measures of caudate, putamen, and nucleus accumbens were compared in two independent samples of medication-naive, high-functioning subjects with autism or Asperger syndrome: 1) 21 affected children and adolescents and 21 matched control subjects; and 2) 21 affected adolescents and young adults and 21 matched control subjects.

      Results

      Caudate nucleus was enlarged in both samples. This result remained significant after correction for total brain volume.

      Conclusions

      These results implicate caudate nucleus in autism, as an enlargement of this structure was disproportional to an increase in total brain volume in two independent samples of medication-naive subjects with autism.

      Key Words

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