Autism is a chronic disorder characterized by impaired social relationships and communication, lack of imagination, and repetitive behaviors. It affects 4 in 10,000 infants and boys more often than girls. Symptoms include lack of social responsiveness, language and communication difficulties, need for sameness and routines, and repetitive behaviors. Brain studies show autistic individuals have larger than average brains reflecting abnormal growth, as well as abnormalities in the cerebellum, cortex, brain stem and other areas. While the specific causes are unknown, autism has a biological basis involving genetic and environmental factors that occur prenatally.