Asperger's syndrome is a pervasive developmental disorder of unknown etiolo
gy. We evaluated children with this syndrome (n = 9) and control (n = 8) ch
ildren by functional magnetic resonance imaging (MRI) during a task involvi
ng social judgment. All control and 5 of 9 subjects with Asperger's syndrom
e showed signal intensity changes in frontal regions. Four patients with As
perger's syndrome, including one case with right frontal dysplasia, had no
signal intensity change during the task. In this first functional MRI study
of childhood Asperger's syndrome, frontal activation patterns demonstrated
some differences between patients and normal subjects. Further studies usi
ng other functions frequently impaired in Asperger's syndrome are warranted
.