Neuroanatomic, pathologic, and neurobehavioral studies point to a cere
bellar and parietal abnormality in autism. We used a standardized prot
ocol to examine neurologic function in 28 pediatric autistic subjects
and 24 pediatric normal healthy volunteer controls. As a group, the au
tistic subjects had quantitative measures from magnetic resonance imag
ing suggesting hypoplasia or hyperplasia of the cerebellar vermis, as
well as measurements of posterior corpus callosum suggesting abnormali
ties of posterior cortex. In groups of tests that reflect cerebellar a
nd parietal function, the neurologic abnormalities detectable by clini
cal examination were significantly greater for autistic subjects than
for normal controls. These studies confirm that the structural and beh
avioral deficit in autism does lead to abnormalities that can be detec
ted on the clinical neurologic examination.