Can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual-sensory behaviors?

IntroductionThe aim of this study is to investigate, using magnetic resonance imaging (MRI), the optic nerve diameter, morphometric characteristics of the optic chiasm (OC), volumes of the lateral, third, and fourth ventricles, as well as the volumes of the corpus callosum (CC) and choroid plexus (C...

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Main Authors: Mustafa Esad Tezcan, Abdullah Enes Ataş, Hurşit Ferahkaya
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1639695/full
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author Mustafa Esad Tezcan
Abdullah Enes Ataş
Hurşit Ferahkaya
author_facet Mustafa Esad Tezcan
Abdullah Enes Ataş
Hurşit Ferahkaya
author_sort Mustafa Esad Tezcan
collection DOAJ
description IntroductionThe aim of this study is to investigate, using magnetic resonance imaging (MRI), the optic nerve diameter, morphometric characteristics of the optic chiasm (OC), volumes of the lateral, third, and fourth ventricles, as well as the volumes of the corpus callosum (CC) and choroid plexus (CP) in children with autism spectrum disorder (ASD), and to compare these findings with those of a typically developing (TD) control group. Additionally, the study seeks to evaluate the impact of these neuroanatomical parameters on autism symptom severity and sensory sensitivity.MethodsThis study included 111 children with ASD and 143 TD control children, aged between 5 and 13 years. The severity of ASD was assessed using the Social Communication Questionnaire (SCQ) and the Childhood Autism Rating Scale (CARS). Symptoms related to sensory sensitivities in ASD were evaluated using the Autism Behavior Checklist (AuBC).ResultsIn the ASD group, OC height, and the volumes of the CP and CC were significantly higher compared to the TD group, whereas OC width and third ventricular volume were significantly lower. There were no significant differences between the two groups in terms of optic nerve volumes, OC cross-sectional area, lateral and fourth ventricular volumes, or total brain volume. OC height was positively correlated with CARS, AuBC relationship, and AuBC use of body and objects scores, while OC width was positively correlated with CARS and AuBC use of body and objects scores. Conversely, OC height showed a negative correlation with AuBC personal-social development scores. After controlling for potential confounding variables such as total brain volume, age, and sex, the results of the covariance analysis remained unchanged. In multiple logistic regression analysis, left CP volume was found to be more strongly associated with ASD diagnosis compared to other morphometric measures.DiscussionThe findings of this study suggest that increased OC height, increased CC and CP volumes, and decreased third ventricular volume may play a role in the etiopathogenesis of altered brain development in children with ASD.
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spelling doaj-art-43a87efde0544342b2c93a7810b2dd392025-08-20T03:44:14ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.16396951639695Can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual-sensory behaviors?Mustafa Esad Tezcan0Abdullah Enes Ataş1Hurşit Ferahkaya2Child and Adolescent Psychiatry, Selcuk Universitesi Tip Fakultesi, Konya, TürkiyeRadiology, Necmettin Erbakan Universitesi Meram Tip Fakultesi Hastanesi, Konya, TürkiyeDepartment of Child and Adolescent Psychiatry, Faculty of Medicine Hospital, Necmettin Erbakan University, Konya, TürkiyeIntroductionThe aim of this study is to investigate, using magnetic resonance imaging (MRI), the optic nerve diameter, morphometric characteristics of the optic chiasm (OC), volumes of the lateral, third, and fourth ventricles, as well as the volumes of the corpus callosum (CC) and choroid plexus (CP) in children with autism spectrum disorder (ASD), and to compare these findings with those of a typically developing (TD) control group. Additionally, the study seeks to evaluate the impact of these neuroanatomical parameters on autism symptom severity and sensory sensitivity.MethodsThis study included 111 children with ASD and 143 TD control children, aged between 5 and 13 years. The severity of ASD was assessed using the Social Communication Questionnaire (SCQ) and the Childhood Autism Rating Scale (CARS). Symptoms related to sensory sensitivities in ASD were evaluated using the Autism Behavior Checklist (AuBC).ResultsIn the ASD group, OC height, and the volumes of the CP and CC were significantly higher compared to the TD group, whereas OC width and third ventricular volume were significantly lower. There were no significant differences between the two groups in terms of optic nerve volumes, OC cross-sectional area, lateral and fourth ventricular volumes, or total brain volume. OC height was positively correlated with CARS, AuBC relationship, and AuBC use of body and objects scores, while OC width was positively correlated with CARS and AuBC use of body and objects scores. Conversely, OC height showed a negative correlation with AuBC personal-social development scores. After controlling for potential confounding variables such as total brain volume, age, and sex, the results of the covariance analysis remained unchanged. In multiple logistic regression analysis, left CP volume was found to be more strongly associated with ASD diagnosis compared to other morphometric measures.DiscussionThe findings of this study suggest that increased OC height, increased CC and CP volumes, and decreased third ventricular volume may play a role in the etiopathogenesis of altered brain development in children with ASD.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1639695/fullautism spectrum disordermagnetic resonance imagingoptic nerve diameterbrain ventriclescorpus callosumchoroid plexus
spellingShingle Mustafa Esad Tezcan
Abdullah Enes Ataş
Hurşit Ferahkaya
Can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual-sensory behaviors?
Frontiers in Psychiatry
autism spectrum disorder
magnetic resonance imaging
optic nerve diameter
brain ventricles
corpus callosum
choroid plexus
title Can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual-sensory behaviors?
title_full Can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual-sensory behaviors?
title_fullStr Can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual-sensory behaviors?
title_full_unstemmed Can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual-sensory behaviors?
title_short Can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual-sensory behaviors?
title_sort can optic nerve morphology in children with autism spectrum disorder be associated with atypical visual sensory behaviors
topic autism spectrum disorder
magnetic resonance imaging
optic nerve diameter
brain ventricles
corpus callosum
choroid plexus
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1639695/full
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