Children with infantile autism sometimes show hyperesthesia or hypoesthesia to touch, pain, and/or temperature. To clarify the pathophysiology, we examined short-latency somatosensory evoked potentials (S-SEPs), elicited by median nerve stimulation, in 24 children with infantile autism (17 males, seven females; age range 2y 2mo-9y; mean age 4y 2mo [SD 1y 7mo]). We also evaluated relationships between S-SEP findings and clinical manifestations. Of the 24 children, 10 showed abnormal S-SEPs as follows: prolonged peak latency of N20 (n=2), extended interpeak latency of P13/14-N20 (n=7), appearance of a giant SEP (n=1), and a more than twofold right hemispheric peak-to-peak amplitude predominance of N20-P25 (n=5). In addition, a peak-to-peak amplitude of N20-P25 elicited by left median nerve stimuli was significantly higher than that obtained with right median nerve stimuli, which indicated right hemispheric hyperactivity relative to the left (p=0.008). Infantile autism is frequently associated with somatosensory abnormalities and right hemispheric hyperactivity relative to the left, especially in the primary somatosensory area. This is believed to contribute to the pathophysiology of infantile autism, especially the idiopathic form.Infantile autism is defined by three major features: impairment of reciprocal social interaction, impairment in verbal and nonverbal communication, and a markedly restricted repertoire of activities and interests. 1 Although many studies have attempted to clarify the pathogenesis of this disorder, causes remain unclear. 2,3 In addition to the three cardinal symptoms, some children with autism also show sensory abnormalities such as hyperesthesia or hypoesthesia to touch, pain, and/or temperature. 4 Although physical examination of children with learning disabilities* or behavioural abnormalities such as infantile autism -especially examination of the sensory system -can be fraught with difficulty, somatosensory evoked potentials (SEPs) would be expected to provide information about somatosensory function even in such children. [5][6][7] Nevertheless, few studies have comprehensively examined somatosensory function in infantile autism using short-latency somatosensory evoked potentials (S-SEPs). 8 In contrast, results of dichotic listening tests, which can identify the dominant hemisphere with respect to auditory function, as well as electroencephalogram (EEG) examinations, 9,10 suggest that right cerebral hemispheric predominance in children with autism contributes significantly to this disorder. In addition, neuropsychological tests have indicated that certain children with autism and very low verbal function have normal or nearly normal visuospatial function. 11 A hypothesis was proposed, therefore, that in individuals with autism, the left hemisphere may be dysfunctional, while the function of the right hemisphere is normal but isolated from that of the left. 12 To shed light on these issues, we performed S-SEPs, elicited by stimulation of both median nerves, in 24 children with autis...