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Brain Connectivity • August 2015<br />

Shared Brain Connectivity Issues, Symptoms, and Comorbidities<br />

in Autism Spectrum Disorder, Attention Deficit/Hyperactivity Disorder,<br />

and Tourette Syndrome<br />

Author information<br />

Kern JK1, Geier DA1, King PG2,<br />

Sykes LK2, Mehta JA3, Geier MR1.<br />

1. Institute of Chronic Illnesses, Inc., Silver Spring, Maryland<br />

2. CoMeD, Inc. , Silver Spring, Maryland<br />

3. Communication Sciences & Disorders<br />

Texas Woman’s University, Denton, Texas<br />

Abstract<br />

The prevalence of neurodevelopmental disorders, including autism spectrum disorder (ASD), attention deficit/<br />

hyperactivity disorder (ADHD), and Tourette syndrome (TS), has increased over the past two decades. Currently,<br />

about one in six children in the United States is diagnosed as having a neurodevelopmental disorder. Evidence<br />

suggests that ASD, ADHD, and TS have similar neuropathology, which includes long-range underconnectivity<br />

and short-range overconnectivity. They also share similar symptomatology with considerable overlap in their<br />

core and associated symptoms and a frequent overlap in their comorbid conditions. Consequently, it is apparent<br />

that ASD, ADHD, and TS diagnoses belong to a broader spectrum of neurodevelopmental illness. Biologically,<br />

long-range underconnectivity and short-range overconnectivity are plausibly related to neuronal insult (e.g., neurotoxicity,<br />

neuroinflammation, excitotoxicity, sustained microglial activation, proinflammatory cytokines, toxic<br />

exposure, and oxidative stress). Therefore, these disorders may a share a similar etiology. The main purpose<br />

of this review is to critically examine the evidence that ASD, ADHD, and TS belong to a broader spectrum of<br />

neurodevelopmental illness, an abnormal connectivity spectrum disorder, which results from neural long-range<br />

underconnectivity and short-range overconnectivity. The review also discusses the possible reasons for these<br />

neuropathological connectivity findings. In addition, this review examines the role and issue of axonal injury and<br />

regeneration in order to better understand the neuropathophysiological interplay between short- and long-range<br />

axons in connectivity issues.<br />

“The prevalence of<br />

neurodevelopmental disorders, including<br />

autism spectrum disorder (ASD),<br />

attention deficit/hyperactivity disorder (ADHD),<br />

and Tourette syndrome (TS), has increased over<br />

the past two decades. Currently, about one in six<br />

children in the United States is diagnosed<br />

as having a neurodevelopmental disorder.”<br />

[this defines a pandemic of neurological disorders]<br />

http://www.ncbi.nlm.nih.gov/pubmed/25602622

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