Hyperlexia III: separating 'autistic-like' behaviors from autistic disorder; assessing children who read early or speak late.

Abstract

Three conditions -- Hyperlexia (children who read early), Einstein syndrome (children who speak late), and "Blindisms" (in children with impaired vision) -- can present with "autistic-like" symptoms, traits, and behaviors that need to be differentiated from autistic disorder. Careful attention to that critical difference has important epidemiologic, etiologic, treatment, and outcome implications. This paper describes these conditions, makes suggestions for proper identification that can prevent unnecessary worry and distress for parents and other caregivers, and suggests appropriate management.