Landgren M, Gillberg C, Strömland K
Department of Child Neuropsychiatry, University of Göteborg, Sweden.
Dev Med Child Neurol. 1992 Nov;34(11):999-1005. doi: 10.1111/j.1469-8749.1992.tb11405.x.
Two girls with concomitant Goldenhar syndrome (oculo-auriculovertebral spectrum disorder) and autistic disorder are described. One was diagnosed as having Goldenhar syndrome in the first few weeks of life and as having autistic disorder in her fifth year; the other was diagnosed as having Goldenhar syndrome when she was referred for evaluation of autistic symptoms at seven years of age. The type of physical abnormalities encountered in Goldenhar syndrome suggests damage to neural structures in the second or late stages of the first trimester. The two cases described in this report suggest that autistic disorder sometimes can result from neural damage during the second trimester.
