We studied the variations in the concentration of metabolites with brain re
gion and age in autistic individuals and normal controls using multiple ana
lysis of covariance. We examined 55 autistic individuals (2-21 years old, 4
7 male and eight female) and 51 normal children (3 months-15 years old, 26
boys and 25 girls). Single volumes of interest were placed in the frontal,
parietal and temporal region on both sides, the brain stem and cingulate gy
rus. The concentration of each metabolite was quantified by the water refer
ence method. The concentration of N-acetylaspartate in the temporal regions
(Brodmann's areas 41 and 42) in the autistic individuals were significantl
y lower than those in the controls (P < 0.05), but concentrations in other
regions were not significantly different between the autistic individuals a
nd controls. This suggests low density or dysfunction of neurones in Brodma
nn's areas 41 and 42 in autistic individual, which might be related to the
disturbances of the sensory speech centre (Wernicke's area) in autism.