It will be reported the 5-year course of an unusual factious disease.
A 28-year-old male patient, who showed grotesque neurotic conversion s
ymptoms persisted in suffering from encephalomyelitis disseminata diag
nosed by the family doctor. In spite of being free from objective find
ings (normal EEG, VEP, Liquor cerebrospinalis, NMR) he has been using
a wheelchair and has been wearing a bladder catheter for four years. T
he case can be reflected as a psychogenic gait disorder. It illustrate
s the tight connection between impulsive disorders, autodestructive be
haviour and some serious psychogenic motoric disorders, which have not
been especially mentioned in literature so far.