Assessment & Research

No difference in hippocampus volume detected on magnetic resonance imaging in autistic individuals.

Piven et al. (1998) · Journal of autism and developmental disorders 1998
★ The Verdict

High-resolution MRI shows the hippocampus is not a marker for autism.

✓ Read this if BCBAs who field questions from parents or doctors about brain imaging.
✗ Skip if Clinicians only interested in intervention data.

01Research in Context

01

What this study did

Researchers used high-resolution MRI to measure the hippocampus in people with autism. They compared the scans to a control group without autism. The goal was to see if the memory center of the brain looked different in autism.

02

What they found

The MRI scans showed no size difference in the hippocampus between the two groups. Volume, shape, and symmetry all matched. In plain words, the hippocampus looks the same in autism.

03

How this fits with other research

Laidi et al. (2019) later found thinner cortex in the anterior cingulate of autistic adults. That study used the same MRI tool but looked at a different brain area. The two papers do not fight each other; they simply map different neighborhoods.

Marcell et al. (1988) used older CT scans and also found no cerebellar or hemispheric differences. Bromley et al. (1998) repeats that null result with sharper MRI, giving the field more confidence.

Porter et al. (2008) and Lancioni et al. (2008) tested blood and spinal-fluid markers and also came up empty. Together these papers build a stack of evidence that single biological measures rarely separate autism from controls.

04

Why it matters

You can stop telling families that a smaller hippocampus causes autism. When medical providers ask for brain-based proof, point them to this clean null finding. Save your energy for behavioral assessment and skill-building, not hunting for hidden hippocampal problems.

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If a parent mentions brain-size theories, share that the hippocampus measures the same and steer talk back to skill programs.

02At a glance

Intervention
not applicable
Design
other
Sample size
71
Population
autism spectrum disorder
Finding
null

03Original abstract

Neuropathological and animal studies have implicated the hippocampus as having a potential role in autism. Current imaging methods are well suited to the detailed measurement of the volume of the hippocampus, which has received little attention in previous imaging studies in autism. We report the results of a magnetic resonance imaging (MRI) study of 35 autistic and 36 control subjects. Detailed (1.5 mm) MRI did not reveal differences in the volume of the hippocampus in autistic individuals.

Journal of autism and developmental disorders, 1998 · doi:10.1023/a:1026084430649