Case presentation: JRCS, female, started, at 15 years old, dysphagia initially for solids, progressing to liquids, hand dystonia and anarthria after isolated fever. At the time she was admitted another pediatric center diagnostic investigation, with normal brain MRI, EEG ENMG. History of mother undiagnosed psychiatric disorder progressive gait dysfunction. age 16 hospitalized malnutrition assoc...