Children with some symptoms of autism, but not enough to be diagnosed with
the classical form of the disorder, are often diagnosed with pervasive developmental
disorder - not otherwise specified (PDD - NOS). People with autistic behavior
but well-developed language skills are often diagnosed with Asperger syndrome.
Children who appear normal in their first several years, then lose skills
and begin showing autistic behavior, may be diagnosed with childhood disintegrative
disorder (CDD). Girls with Rett syndrome, a sex-linked genetic disorder characterized
by inadequate brain growth, seizures, and other neurological problems, also
may show autistic behavior. PDD - NOS, Asperger syndrome, CDD, and Rett syndrome
are referred to as autism spectrum disorders.
Since hearing problems can be confused with autism, children with delayed
speech development should always have their hearing checked. Children sometimes
have impaired hearing in addition to autism. About half of people with autism
score below 50 on IQ tests, 20 percent score between 50 and 70, and 30 percent
score higher than 70. However, estimating IQ in young children with autism
is often difficult because problems with language and behavior can interfere
with testing. A small percentage of people with autism are savants. These
people have limited but extraordinary skills in areas like music, mathematics,
drawing, or visualization.
What causes autism?
Autism has no single cause. Researchers have identified a number of genes that
play a role in the disorder. In some children, environmental factors also may
play a role in development of the disorder. Studies of people with autism have
found abnormalities in several regions of the brain, including the cerebellum,
amygdala, hippocampus, septum, and mamillary bodies, in others, there are no
abnormalities. Neurons in these regions appear smaller than normal and have
stunted nerve fibers, which may interfere with nerve signaling. These abnormalities
suggest that autism results from disruption of normal brain development early
in fetal development. Other studies suggest that people with autism have abnormalities
of serotonin or other signaling molecules in the brain. While these findings
are intriguing, they are preliminary and require further study. The early belief
that parental practices are responsible for autism has now been disproved. Next
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