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Auditory Brainstem Response Abnormalities in Autistic Children

Published online by Cambridge University Press:  18 September 2015

M.J. Taylor*
Affiliation:
Montreal-Children’s HospitalMontreal, Canada
B. Rosenblatt
Affiliation:
Montreal-Children’s HospitalMontreal, Canada
L. Linschoten
Affiliation:
Montreal-Children’s HospitalMontreal, Canada
*
Division of Neurology, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, M5G 1X8
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In an attempt to clarify issues of brainstem dysfunction and hearing thresholds in autistic children, we studied the Auditory Brainstem Responses (ABRs) in 32 children who clearly fit within the criteria of autism established by the National Society for Autistic Children (1977). ABRs were recorded between Cz and ipsilateral ear in response to click stimuli. Interwave latencies and auditory threshold in each ear were determined. Of the 32 children, 11 had moderate hearing loss (8 bilaterally) and 3 had severe to profound hearing loss, all bilaterally. 8 of the 14 with hearing loss also had associated features (e.g., perinatal encephalopathy). The I-III andI-Vinterwave latencies were significantly longer in the autistic children compared to normal control children; the increased conduction times were found mainly in the early portion of the auditory brainstem pathway. These data confirm some earlier reports of ABR abnormalities in autistic children and are concordant with some theories of the etiological basis of autism. The high incidence of hearing loss in these children is significant and routine ABR testing is recommended.

Type
Research Article
Copyright
Copyright © Canadian Neurological Sciences Federation 1982

References

Coleman, M. (1979). Studies of the autistic syndrome. In Congenital and Acquired Cognitive Disorders, Katzman, R. (Ed.), Raven Press: New York.Google Scholar
Colbert, E.G., Koegler, R.R. & Markham, C.H. (1959). Vestibular dysfunction in childhood schizophrenia. Archives of General Psychiatry, 1: 600617.CrossRefGoogle ScholarPubMed
Damasio, A.R. & Maurer, R.G. (1978). A neurological model for childhood autism. Archives of Neurology, 35: 777786.CrossRefGoogle ScholarPubMed
Delong, G.R., Bean, C. & Brown, F.R. (1981). Acquired reversible autistic syndrome in acute encephalopathic illness in children. Archives of Neurology, 38: 191194.CrossRefGoogle ScholarPubMed
Despland, P. & Galambos, R. (1980). The auditory brainstem response (ABR) is a useful diagnostic tool in the intensive care nursery. Pediatric Research, 14: 154158.CrossRefGoogle ScholarPubMed
Duncan, P.G., Sanders, R.A. & Mcculloch, D.W. (1979). Preservation of auditory-evoked brainstem responses in anaesthetized children. Canadian Anaesthesiology Society Journal, 26: 492495.CrossRefGoogle ScholarPubMed
Kanner, L. (1943). Autistic disturbances of affective contact. Nervous Child, 2: 217250.Google Scholar
Macculloch, M.J. & Williams, C. (1971). On the nature of infantile autism. Acta Psychiatry Scandanavian, 47: 295314.CrossRefGoogle ScholarPubMed
Meyers, R.E. (1972). Two patterns of perinatal brain damage and the conditions of occurrence. American Journal of Obstetrics and Gynecology, 112: 246276.CrossRefGoogle Scholar
Mokotoff, B., Schulman-Galambos, C. & Galambos, R. (1977). Brainstem auditory evoked responses in children. Archives Otolaryngology, 103: 3843.CrossRefGoogle ScholarPubMed
Novick, B., Vaughan, H.G., Kurtzburg, D. & Simson, R. (1980). An electrophysiologic indication of auditory processing defects in autism. Psychiatric Research, 3: 107114.CrossRefGoogle ScholarPubMed
Ornitz, E.M., Brown, M.B., Mason, A. et al. (1974). Effect of visual input on vestibular nystagmus in autistic children. Archives of General Psychiatry, 31: 369375.CrossRefGoogle ScholarPubMed
Ornitz, E.M.Forsythe, A.B., Tanguay, P.E., et al. (1974). The recovery cycle of the averaged auditory evoked response during sleep in autistic children. Electroencephalography and clinical Neurophysiology, 37: 173174.CrossRefGoogle ScholarPubMed
Ornitz, E.M. & Ritvo, E.R. (1976). The syndrome of autism: A critical review. The American Journal of Psychiatry, 133: 609621.Google ScholarPubMed
Ornitz, E.M., Ritvo, E.R., Brown, M.B., et al. (1969). The EEG and rapid eye movements during REM sleep in normal and autistic children. Electroencephalography and clinical Neurophysiology, 26: 167175.CrossRefGoogle ScholarPubMed
Picton, T.W. & Smith, A.D. (1978). The practice of evoked potential audiometry. Otolaryngology Clinics of North America, 11: 263282.CrossRefGoogle ScholarPubMed
Pollack, M. & Krieger, H.P. (1958). Oculomotor and postural patterns in schizophrenic children. Archives of Neurology and Psychiatry, 79: 720726.CrossRefGoogle ScholarPubMed
Ritvo, E.R. (1977). National Society for Autistic Children: Definition of the Syndrome of Autism. July.CrossRefGoogle Scholar
Ritvo, E.R., Ornitz, E.M., Eviatar, A., et al. (1969). Decreased postrotatory nystagmus in early infantile autism. Neurology, 19: 653658.CrossRefGoogle ScholarPubMed
Rosenblum, S.M., Arick, J.R., Krug, D.A., et al. (1980). Auditory brainstem evoked responses in autistic children. Journal of Autism and Developmental Disorders, 10: 215225.CrossRefGoogle ScholarPubMed
Sanders, R.A., Duncan, P.G. & Mccullough, D. W. (1979). Clinical experience with brainstem audiometry performed under general anesthesia. Journal of Otolaryngology, 8: 2432.Google ScholarPubMed
Skoff, B.F., Mirsky, A.F. & Turner, D. (1980). Prolonged brainstem transmission time in autism. Psychiatry Research, 2: 157166.CrossRefGoogle ScholarPubMed
Simon, N. (1975). Echolalic speech in childhood autism. Archives of General Psychiatry, 32: 14391446.CrossRefGoogle ScholarPubMed
Sohmer, H., Gafni, M. & Chisin, R. (1978). Auditory nerve and brainstem responses: Comparison in awake and unconscious subjects. Archives of Neurology, 35: 228230.CrossRefGoogle ScholarPubMed
Starr, A. & Achor, L.J. (1975). Auditory brainstem responses in neurological disease. Archives of Neurology, 36: 761772.CrossRefGoogle Scholar
Starr, A. & Hamilton, A.E. (1976). Correlation between confirmed sites of neurological lesions and abnormalities of far-field auditory brainstem responses. Electroencephalography and clinical Neurophysiology, 41: 595608.CrossRefGoogle ScholarPubMed
Stockard, J.J. & Rossiter, V.S. (1977). Clinical and pathologic correlates of brainstem auditory response abnormalities. Neurology, 27: 316325.CrossRefGoogle ScholarPubMed
Stockard, J.J., Rossiter, V.S., JONES. T.A. & Sharbrough, F.W. (1977). Effects of centrally acting drugs on brainstem auditory responses. Electroencephalography and clinical Neurophysiology, 43: 550551.Google Scholar
Stockard, J.J., Stockard, J.E. & Sharbrough, F.W. (1977). Detection and localization of occult lesions with brainstem auditory response. Mayo Clinic Proceedings, 52: 761769.Google Scholar
Student, M. & Sohmer, H. (1978). Evidence from auditory nerve and brainstem evoked responses for an organic brain lesion in children with autistic traits. Journal of Autism and Childhood Schizophrenia, 8: 1320.CrossRefGoogle ScholarPubMed
Student, M. & Sohmer, H. (1979). Erratum. Journal of Autism and Developmental Disorders, 9: 309.CrossRefGoogle Scholar
Uziel, A. & Benezech, J. (1978). Auditory brainstem responses in comatose patients: Relationship with brainstem reflexes and levels of coma. Electroencephalography and Clinical Neurophysiology, 45: 515524.CrossRefGoogle ScholarPubMed