The initial description of Asperger syndrome commented on the poor handwrit
ing and motor coordination difficulties of individuals with this condition.
Early descriptions of autism do not remark upon such difficulties. Recent
evidence, however, suggests that individuals with both conditions have a si
milar motor control impairment. Handwriting has not been formally assessed
in this context. Our study compared handwriting size between individuals wi
th autism spectrum disorder and age- and IQ-matched control subjects. Macro
graphia was observed among subjects with autism spectrum disorder which rem
ained statistically significant when covaried with educational level. This
finding may correlate with the anatomical abnormalities present in the cere
bellum of individuals with autism spectrum disorder.