Article abstract—Objective: To quantify,developmental,abnormalities,in cerebral,and,cerebellar,volume,in autism. Methods: The authors studied 60 autistic and 52 normal boys (age, 2 to 16 years) using MRI. Thirty autistic boys were diagnosed,and,scanned,when,5 years,or older. The other,30 were,scanned,when,2 through,4 years,of age,and,then diagnosed with autism at least 2.5 years later, at an age when the diagnosis of autism is more reliable. Results: Neonatal head circumferences from clinical records were available for 14 of 15 autistic 2- to 5-year-olds and, on average, were normal (35.1 6 1.3 cm versus clinical norms: 34.6 6 1.6 cm), indicative of normal overall brain volume at birth; one measure was above the 95th percentile. By ages 2 to 4 years, 90% of autistic boys had a brain volume larger than normal average, and 37% met criteria for developmental macrencephaly. Autistic 2- to 3-year-olds had more cerebral (18%) and cerebellar (39%) white matter, and more cerebral cortical gray matter (12%) than normal, whereas older autistic children and adolescents did not have such enlarged gray and white matter volumes. In the cerebellum, autistic boys had less gray matter, smaller ratio of gray to white matter, and smaller vermis lobules VI‐VII than normal controls. Conclusions: Abnormal,regulation,of brain,growth,in autism,results,in early,overgrowth,followed,by,abnormally,slowed,growth. Hyperplasia,was,present,in cerebral,gray,matter,and,cerebral,and,cerebellar,white,matter,in early life in patients,with autism. NEUROLOGY 2001;57:245‐254 Little is known,about,the neuroanatomic,abnormali-