The casuistry of a 5 year old up to that time healthy boy with a drama
tical and progressive illness was described including ataxia, convulsi
ve seizures, choreoathetosis, impaired language, hyperexcitable reflex
es, headache, confusion and affect-lability. After excluding an inflam
matory and cancerous process, the symptomatic looks like a severe neur
ometabolic disease. At last, it could be identified as a conversion di
sorder. That is an important and often ignored diagnosis.