Abstract: Five cases with so-called “Dermato- und Enterozoenwahn” are reported, and the following themes are analysed from the “multidimensional” point of view: 1) process to build the shape of the intruder which is bothering the patients, 2) behavior against the intruding small animal and attitude towards the therapeutist; their characteristic manner to make complaints, 3) premorbid personality and 4) physical findings. In regard to one of the formation types of this disease, we have postulated through the neuropsychological analysis of case 5 (somatoparaphrenic patient) that patients of the typical cases 1, 2 and 3 suffer from a special kind of agnosia (perturbation of recognition; disturbance of aperception) in which they take their abnormal body sensations for causing by the small imaginary animals. Our cases showed the importance of a premorbid personality and present life-situations in combination with physical dissolution taking part in the pathoplastic process of this particular disease.