Family and medical histories, autistic and dysmorphic features, and ne
urological status of 5 children with autism and hyperlexia and 5 sex a
nd IQ-matched children with autism and no hyperlexia were compared Res
ults showed that the children with hyperlexia displayed more persisten
t echolalia, superior visual motor performance, and more favorable res
ponse to vestibular stimulation. These children performed better than
did their matched controls in the physical and neurological assessment
. Two of these children, one of whom had a sibling with hyperlexia, pr
esented with macrocephaly. Both groups had a similar incidence of dysm
orphic features, computerized tomographic and EEG abnormalities, and f
amily morbidity. Results suggest that children with autism and hyperle
xia probably represent part of the continuum of autism rather than a s
pecific syndrome.