The possible role of the cerebellum in autism/PDD: disruption of a multisensory feedback loop.

Autism and pervasive developmental disorder (PDD) are characterized by impairments in socialization and communication, and by restricted and stereotypic patterns of behavior. Associated symptoms or features of autism/PDD include problems with attention and orientation, and an odd response to the environment and sensory stimuli. Persons with autism/PDD can over or under respond or react to sensation. Evidence suggests that there is aberrant brain structure in this disorder, particularly in the cerebellum. This paper will attempt to show a possible relationship between the pathology in the cerebellum and the symptomatology seen in autism/PDD with an emphasis on the sensory issues.

[1]  R. N. Leaton,et al.  Lesions of the cerebellar vermis and cerebellar hemispheres: effects on heart rate conditioning in rats. , 1990, Behavioral neuroscience.

[2]  B. Stein,et al.  Determinants of multisensory integration in superior colliculus neurons. I. Temporal factors , 1987, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[3]  M. Wallace,et al.  Converging influences from visual, auditory, and somatosensory cortices onto output neurons of the superior colliculus. , 1993, Journal of neurophysiology.

[4]  M. K. Wolf,et al.  Lacunar and Other Subcortical Infarctions , 1997, Neurology.

[5]  Toshiro Sugiyama,et al.  The prevalence of autism in Nagoya, Japan: A total population study , 1989, Journal of autism and developmental disorders.

[6]  E. Courchesne Neuroanatomic imaging in autism. , 1991, Pediatrics.

[7]  M. Alex Meredith,et al.  Neurons and behavior: the same rules of multisensory integration apply , 1988, Brain Research.

[8]  A. Puerto,et al.  Retention of concurrent taste aversion learning after electrolytic lesioning of the interpositus–dentate region of the cerebellum , 2000, Brain Research.

[9]  J W Murakami,et al.  Reduced cerebellar hemisphere size and its relationship to vermal hypoplasia in autism. , 1989, Archives of neurology.

[10]  A. Brodal,et al.  Neurological Anatomy in Relation to Clinical Medicine , 1950 .

[11]  M. Alexander,et al.  Principles of Neural Science , 1981 .

[12]  M A Meredith,et al.  The visuotopic component of the multisensory map in the deep laminae of the cat superior colliculus , 1990, The Journal of neuroscience : the official journal of the Society for Neuroscience.

[13]  F. Volkmar Autism and pervasive developmental disorders , 1997 .

[14]  M Dennis,et al.  Perception and estimation of time in long-term survivors of childhood posterior fossa tumors , 2000, Journal of the International Neuropsychological Society.

[15]  U. Frith Autism: Explaining the Enigma , 2005 .

[16]  John H. Martin Neuroanatomy: Text and Atlas , 1989 .

[17]  A. Scheibel,et al.  Lower Purkinje cell counts in the cerebella of four autistic subjects: initial findings of the UCLA-NSAC Autopsy Research Report. , 1986, The American journal of psychiatry.

[18]  T. Bullock,et al.  Cerebellum mediates modality-specific modulation of sensory responses of midbrain and forebrain in rat , 1984 .

[19]  E. Courchesne,et al.  Hypoplasia of cerebellar vermal lobules VI and VII in autism. , 1988, The New England journal of medicine.

[20]  J Xiong,et al.  Lateral cerebellar hemispheres actively support sensory acquisition and discrimination rather than motor control. , 1997, Learning & memory.

[21]  T. Kemper,et al.  The contribution of neuropathologic studies to the understanding of autism. , 1993, Neurologic clinics.

[22]  J Townsend,et al.  Impairment in shifting attention in autistic and cerebellar patients. , 1994, Behavioral neuroscience.

[23]  J. Bower,et al.  Is the cerebellum sensory for motor's sake, or motor for sensory's sake: the view from the whiskers of a rat? , 1997, Progress in brain research.

[24]  E. Courchesne New evidence of cerebellar and brainstem hypoplasia in autistic infants, children and adolescents: The MR imaging study by Hashimoto and colleagues , 1995, Journal of autism and developmental disorders.

[25]  I M Smith,et al.  First report of a Canadian epidemiological study of autistic syndromes. , 1988, Journal of child psychology and psychiatry, and allied disciplines.

[26]  E. Courchesne,et al.  Evidence for a cerebellar role in reduced exploration and stereotyped behavior in autism , 2001, Biological Psychiatry.